Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13082 | Date 04/01/2024 |
| Token No | SM/22-23/27843 04/01/2024 | Serial | 056 Last Visit: 04/01/2024 |
| Patient Name | Mr. SUROJ LAHA | Contact No | |
| Address | CHATRA DHARMOTOLA | Age | 28 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||