Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12734 | Date 11/11/2023 |
| Token No | SM/22-23/26201 11/11/2023 | Serial | 011 Last Visit: 14/06/2025 |
| Patient Name | Mr. SUBHAJIT SARDAR | Contact No | 8910088549 |
| Address | 35 PATIPARA CHATRA SERAMPORE, BAIDYABATI (M) | Age | 26 Years,1 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||