Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13520 | Date 04/04/2024 |
| Token No | SM/24-25/31089 04/04/2024 | Serial | 024 Last Visit: 04/04/2024 |
| Patient Name | Mr. ARINDAM KARMAKAR | Contact No | 9433571279 |
| Address | 214/A/A VIVEKANANDA SARANI , SADGOP PARA, BAIDYABATI (M) | Age | 18 Years,2 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||