Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13766 | Date 29/05/2024 |
| Token No | SM/24-25/32977 29/05/2024 | Serial | 042 Last Visit: 29/05/2024 |
| Patient Name | Mr. SUKDEV DAS | Contact No | |
| Address | CHATRA GHOSH PARA | Age | 24 Years,4 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||