Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09190 | Date 19/01/2021 |
| Token No | SM/21-22/5154 16/09/2021 | Serial | 026 Last Visit: 09/06/2025 |
| Patient Name | Mr. SOMNATH KARMAKAR | Contact No | 7439105323 |
| Address | NATUN PARA DAKSHIN RAJYADHARPUR MALLICKPARA | Age | 45 Years,5 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||