Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05195 | Date 22/05/2019 |
| Token No | SM/19-20/23479 27/06/2020 | Serial | 007 Last Visit: 08/09/2025 |
| Patient Name | Mr. SAGAR PAL | Contact No | 9830045006 |
| Address | 36 CHATRA KUMAR PARA SERAMPORE | Age | 21 Years,8 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||