Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12939 | Date 14/12/2023 |
| Token No | SM/24-25/32169 06/05/2024 | Serial | 025 Last Visit: 06/05/2024 |
| Patient Name | Mr. DEBASISH ROY | Contact No | |
| Address | SERAMPORE | Age | 37 Years,5 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||