Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13767 | Date 29/05/2024 |
| Token No | SM/24-25/32978 29/05/2024 | Serial | 043 Last Visit: 14/06/2025 |
| Patient Name | Mr. DIPAK GHOSH | Contact No | |
| Address | P N MUKHERJEE STREET | Age | 27 Years,5 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||