Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12268 | Date 21/07/2023 |
| Token No | SM/22-23/23050 21/07/2023 | Serial | 022 Last Visit: 25/08/2025 |
| Patient Name | Mr. SANJEEV PATRA | Contact No | 6289247909 |
| Address | DAKSHIN RAJYADHARPUR (NUTUN PARA )SERAMPORE MALLICKPARA | Age | 23 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||