Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13052 | Date 30/12/2023 |
| Token No | SM/22-23/27689 30/12/2023 | Serial | 025 Last Visit: 30/12/2023 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 7595952242 |
| Address | CHOTOBELU BELUMILKI | Age | 19 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||