Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00112 | Date 04/08/2018 |
| Token No | SM/24-25/34295 29/06/2024 | Serial | 068 Last Visit: 29/06/2024 |
| Patient Name | Mr. ABHIJIT DHARA | Contact No | |
| Address | 6, SHANI PARA | Age | 18 Years,5 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||