Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13047 | Date 28/12/2023 |
| Token No | SM/22-23/27626 28/12/2023 | Serial | 030 Last Visit: 12/04/2024 |
| Patient Name | Mr. DEPA PAL | Contact No | |
| Address | MALLIK PARA HOGGHLY | Age | 31 Years,3 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||