Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13718 | Date 20/05/2024 |
| Token No | SM/24-25/32669 20/05/2024 | Serial | 013 Last Visit: 16/12/2025 |
| Patient Name | Mr. RABI DAS | Contact No | |
| Address | serampore | Age | 26 Years,9 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||