Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13042 | Date 28/12/2023 |
| Token No | SM/22-23/27605 28/12/2023 | Serial | 009 Last Visit: 28/12/2023 |
| Patient Name | Mr. SNEHASISH PAL | Contact No | |
| Address | KL GOSWAMI STREET | Age | 26 Years,11 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||