Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13112 | Date 11/01/2024 |
| Token No | SM/22-23/28080 11/01/2024 | Serial | 033 Last Visit: 11/01/2024 |
| Patient Name | Mr. SUKRITI SEAL | Contact No | |
| Address | TELIPARA BAIDYABATI | Age | 34 Years,0 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||