Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14089 | Date 26/07/2024 |
| Token No | SM/24-25/35329 26/07/2024 | Serial | 005 Last Visit: 26/07/2024 |
| Patient Name | Mr. NIMAY DAS | Contact No | |
| Address | ASTAI,PURBA BARDHAMAN | Age | 59 Years,2 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||