Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13046 | Date 28/12/2023 |
| Token No | SM/22-23/27625 28/12/2023 | Serial | 029 Last Visit: 28/12/2023 |
| Patient Name | Mr. HEMANTA GANGAPUTRA PRADHAN | Contact No | 9088996931 |
| Address | 41 A P GHOSH ROAD CHATRA SERAMPORE | Age | 29 Years,8 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||