Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09598 | Date 08/05/2021 |
| Token No | SM/24-25/39606 19/11/2024 | Serial | 032 Last Visit: 19/11/2024 |
| Patient Name | Mr. PACHU GOPAL DAS | Contact No | |
| Address | 9,BARUI PARA LANE CHATRA SERAMPORE | Age | 68 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||