Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13542 | Date 08/04/2024 |
| Token No | SM/24-25/31224 08/04/2024 | Serial | 064 Last Visit: 08/04/2024 |
| Patient Name | Mr. NILESH SAMANTA | Contact No | 9593809811 |
| Address | 15 RAJA K L GOSWAMI STREET | Age | 17 Years,7 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||