Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13147 | Date 25/01/2024 |
| Token No | SM/22-23/28390 25/01/2024 | Serial | 008 Last Visit: 25/01/2024 |
| Patient Name | Mr. RITUPARNA SHAW | Contact No | |
| Address | BAIDYABATI | Age | 25 Years,0 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||