Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13808 | Date 04/06/2024 |
| Token No | SM/24-25/33228 04/06/2024 | Serial | 010 Last Visit: 12/03/2025 |
| Patient Name | Mr. TAPAS KUMAR DUTTA | Contact No | 8910992586 |
| Address | 252 KB C ROAD HATKHOLA MANSA TALA CHANDANNAGAR | Age | 43 Years,2 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||