Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13075 | Date 03/01/2024 |
| Token No | SM/22-23/27784 03/01/2024 | Serial | 046 Last Visit: 11/08/2025 |
| Patient Name | Mr. SK. SIRAJUDDIN | Contact No | |
| Address | 9 ARBINDA SARANI CHATRA SERAMPORE | Age | 53 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||