Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12901 | Date 12/12/2023 |
| Token No | SM/22-23/27070 12/12/2023 | Serial | 019 Last Visit: 12/12/2023 |
| Patient Name | Mr. AMITAVA PAN | Contact No | |
| Address | SERAMPORE | Age | 27 Years,0 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||