Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09327 | Date 15/03/2021 |
| Token No | SM/24-25/32075 03/05/2024 | Serial | 040 Last Visit: 23/05/2024 |
| Patient Name | Mr. MOHAN DAS | Contact No | |
| Address | 76 SATCHASIPARA CHATRA BAIDYABATI (M) | Age | 70 Years,4 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||