Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14738 | Date 04/01/2025 |
| Token No | SM/24-25/41324 04/01/2025 | Serial | 032 Last Visit: 04/01/2025 |
| Patient Name | Mr. RABIN BANIK | Contact No | 8100520416 |
| Address | 4 D D MONDAL GHAT ROAD KAMARHATI | Age | 63 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||