Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13664 | Date 06/05/2024 |
| Token No | SM/24-25/32203 06/05/2024 | Serial | 059 Last Visit: 06/05/2024 |
| Patient Name | Mr. SAYAK MITRA | Contact No | 9433240458 |
| Address | 6 GHOSH PARA 2ND LANE | Age | 35 Years,8 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||