Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13464 | Date 19/03/2024 |
| Token No | SM/22-23/30474 19/03/2024 | Serial | 001 Last Visit: 19/03/2024 |
| Patient Name | Mr. SAMIR DUTTA | Contact No | |
| Address | SERAMPORE | Age | 18 Years,2 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||