Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14351 | Date 04/10/2024 |
| Token No | SM/24-25/37970 04/10/2024 | Serial | 074 Last Visit: 04/10/2024 |
| Patient Name | Mr. PRABHAT SARKAR | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 60 Years,9 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||