Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11323 | Date 22/07/2022 |
| Token No | SM/24-25/32153 06/05/2024 | Serial | 009 Last Visit: 06/05/2024 |
| Patient Name | Mr. RATAN PRAMANIK | Contact No | 9932773908 |
| Address | VILL- UTTAR KASHIABAD, PO-MUNDAPARA KASHIABAD, DT- S 24PGS | Age | 83 Years,4 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||