Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08659 | Date 22/08/2020 |
| Token No | SM/22-23/25204 11/10/2023 | Serial | 014 Last Visit: 27/09/2025 |
| Patient Name | Mr. SOUMYAJIT PAUL | Contact No | 9330096213 |
| Address | 4 CHOWDHURY PARA LANE | Age | 19 Years,1 Months,29 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 69.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||