Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13160 | Date 29/01/2024 |
| Token No | SM/24-25/39597 19/11/2024 | Serial | 023 Last Visit: 19/11/2024 |
| Patient Name | Mr. PRITAM PAL | Contact No | |
| Address | TETUL TALA SERAMPORE | Age | 20 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||