Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13080 | Date 04/01/2024 |
| Token No | SM/22-23/27840 04/01/2024 | Serial | 053 Last Visit: 04/01/2024 |
| Patient Name | Mr. PRITAM CHAKRABORTTY | Contact No | |
| Address | 4/A DHARMOTOLA LANE | Age | 32 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||