Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13126 | Date 17/01/2024 |
| Token No | SM/22-23/28200 17/01/2024 | Serial | 026 Last Visit: 17/01/2024 |
| Patient Name | Mr. SUDIPTA CHAKLRABORTTY | Contact No | |
| Address | SERASMPORE CHATRA | Age | 52 Years,0 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||