Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01673 | Date 26/10/2018 |
| Token No | SM/21-22/9319 25/01/2022 | Serial | 024 Last Visit: 14/07/2025 |
| Patient Name | Mr. RABIN MONDAL | Contact No | |
| Address | SERAMPORE | Age | 29 Years,0 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||