Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12716 | Date 07/11/2023 |
| Token No | SM/22-23/26004 07/11/2023 | Serial | 001 Last Visit: 14/11/2025 |
| Patient Name | Mr. SOURAV GHOSH | Contact No | |
| Address | MOSHAT ,HOOGHLY | Age | 32 Years,10 Months,12 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||