Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12464 | Date 12/09/2023 |
| Token No | SM/22-23/28119 15/01/2024 | Serial | 005 Last Visit: 15/01/2024 |
| Patient Name | Mr. AYAN BANERJEE (DEMO) | Contact No | 8670122972 |
| Address | GOPAL PUR | Age | 25 Years,8 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||