Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14139 | Date 07/08/2024 |
| Token No | SM/24-25/35804 07/08/2024 | Serial | 007 Last Visit: 03/09/2025 |
| Patient Name | Mr. AMIT HALDER | Contact No | |
| Address | serampore | Age | 26 Years,5 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||