Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13995 | Date 06/07/2024 |
| Token No | SM/24-25/34528 06/07/2024 | Serial | 021 Last Visit: 06/07/2024 |
| Patient Name | Mr. SUDIP HALDER | Contact No | |
| Address | SERAMPOORE | Age | 21 Years,6 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||