Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13426 | Date 11/03/2024 |
| Token No | SM/22-23/30195 11/03/2024 | Serial | 092 Last Visit: 23/05/2024 |
| Patient Name | Mr. JAYANTA DUTTA | Contact No | |
| Address | SERAMPORE | Age | 36 Years,4 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||