Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13526 | Date 05/04/2024 |
| Token No | SM/24-25/31120 05/04/2024 | Serial | 005 Last Visit: 05/04/2024 |
| Patient Name | Mr. GOUTAM DAS | Contact No | |
| Address | SERAMPORE | Age | 34 Years,3 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||