Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10504 | Date 05/01/2022 |
| Token No | SM/22-23/15117 28/07/2022 | Serial | 015 Last Visit: 26/04/2025 |
| Patient Name | Mr. CHIRANJIT NANDY | Contact No | 8584971222 |
| Address | 2,LENIN SARANI | Age | 30 Years,3 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||