Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14076 | Date 24/07/2024 |
| Token No | SM/24-25/35254 24/07/2024 | Serial | 072 Last Visit: 24/07/2024 |
| Patient Name | Mr. SUMANTA MAHATA | Contact No | 9046355175 |
| Address | 20 CHATRA CHATRA BARUI PARA | Age | 19 Years,8 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||