Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13691 | Date 14/05/2024 |
| Token No | SM/24-25/32477 14/05/2024 | Serial | 003 Last Visit: 14/05/2024 |
| Patient Name | Mr. SURAJIT BOSE | Contact No | |
| Address | SERAMPORE | Age | 26 Years,4 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||