Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06556 | Date 27/09/2019 |
| Token No | SM/24-25/32133 04/05/2024 | Serial | 050 Last Visit: 13/09/2025 |
| Patient Name | Mr. JHANTU ROY | Contact No | 8420014923 |
| Address | KINKARBATI,NALIKUL,HOOGHLY | Age | 40 Years,8 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||