Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12797 | Date 05/12/2023 |
| Token No | SM/24-25/34025 24/06/2024 | Serial | 070 Last Visit: 24/07/2025 |
| Patient Name | Mr. KOUSHIK KAR | Contact No | 9875390188 |
| Address | 7/A MUKHERJEE PARA CHATRA BAIDYABATI (M) | Age | 18 Years,8 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||