Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14769 | Date 09/01/2025 |
| Token No | SM/24-25/41493 09/01/2025 | Serial | 050 Last Visit: 09/01/2025 |
| Patient Name | Mr. GULSHAN SINGH | Contact No | 8240492568 |
| Address | BAGER BAGAN CHATRA , BAIDYABATI (M) | Age | 26 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||