Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13804 | Date 03/06/2024 |
| Token No | SM/24-25/33218 03/06/2024 | Serial | 065 Last Visit: 03/06/2024 |
| Patient Name | Mr. KOCHI SOREN | Contact No | 7076925292 |
| Address | P N MUKHERJEE STREET | Age | 30 Years,5 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||