Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12913 | Date 13/12/2023 |
| Token No | SM/22-23/27136 13/12/2023 | Serial | 047 Last Visit: 13/12/2023 |
| Patient Name | Mr. SUBIR CHAKRABORTY | Contact No | |
| Address | SERAMPORE, CHATRA HOOGHLY | Age | 20 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||