Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14984 | Date 08/02/2025 |
| Token No | SM/24-25/42690 08/02/2025 | Serial | 075 Last Visit: 08/02/2025 |
| Patient Name | Mr. MAINAK DAS | Contact No | 9674171728 |
| Address | 130 TELI PARA BAGER BAGAN CHATRA BAIDYABATI (M) | Age | 28 Years,2 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||