Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11628 | Date 15/10/2022 |
| Token No | SM/22-23/17418 15/10/2022 | Serial | 014 Last Visit: 24/09/2025 |
| Patient Name | Mr. SANJAY MAHATO | Contact No | 7091246958 |
| Address | CHATRA SIDHEWARI TALA, SERAMPORE | Age | 34 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||