Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 13850 | Date 10/06/2024 |
| Token No | SM/24-25/33524 10/06/2024 | Serial | 076 Last Visit: 10/06/2024 |
| Patient Name | Mr. AJOY DAS | Contact No | 8910531723 |
| Address | 29,KHAS BAGAN LANE | Age | 19 Years,9 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||