Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13455 | Date 15/03/2024 |
| Token No | SM/22-23/30402 15/03/2024 | Serial | 042 Last Visit: 26/11/2025 |
| Patient Name | Mr. SUMAN GHOSH | Contact No | |
| Address | serampore | Age | 27 Years,6 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||