Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13609 | Date 27/04/2024 |
| Token No | SM/24-25/31852 27/04/2024 | Serial | 035 Last Visit: 27/04/2024 |
| Patient Name | Mr. SUMIT GUPTA | Contact No | |
| Address | PN MUKHERJEE STREET | Age | 40 Years,3 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||