Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13456 | Date 15/03/2024 |
| Token No | SM/22-23/30403 15/03/2024 | Serial | 043 Last Visit: 15/03/2024 |
| Patient Name | Mr. DEB MALLIK | Contact No | |
| Address | CHATRA SERAQMPORE | Age | 43 Years,2 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||