Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08233 | Date 07/05/2020 |
| Token No | SM/24-25/32123 04/05/2024 | Serial | 040 Last Visit: 04/05/2024 |
| Patient Name | Mr. SOUVIK DAS | Contact No | |
| Address | POHALAMPUR, HOOGHLY | Age | 23 Years,4 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||