Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14043 | Date 11/07/2024 |
| Token No | SM/24-25/34815 11/07/2024 | Serial | 023 Last Visit: 12/05/2025 |
| Patient Name | Mr. BARUN SAMANTA | Contact No | 7439710785 |
| Address | PADMAPUR BURUL FALTA | Age | 62 Years,2 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 169.5 cm BMI: 20.187781 |
| Diagnosis | |||