Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13055 | Date 30/12/2023 |
| Token No | SM/22-23/27699 30/12/2023 | Serial | 035 Last Visit: 15/04/2024 |
| Patient Name | Mr. SUDIPTA DEY | Contact No | |
| Address | BAIDYABATI HOOGHLY | Age | 47 Years,3 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||