Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13673 | Date 10/05/2024 |
| Token No | SM/24-25/32348 10/05/2024 | Serial | 008 Last Visit: 10/05/2024 |
| Patient Name | Mr. SK MURTUJA | Contact No | 8617799416 |
| Address | 12 CHATRA,MUSALMAN PARA BYE LANE | Age | 13 Years,4 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||