Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15228 | Date 23/04/2025 |
| Token No | SM/25-26/718 23/04/2025 | Serial | 063 Last Visit: 23/04/2025 |
| Patient Name | Mr. MINTU DAS | Contact No | |
| Address | BAGER BAGAN CHATRA | Age | 29 Years,0 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||