Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15099 | Date 08/03/2025 |
| Token No | SM/24-25/43697 08/03/2025 | Serial | 005 Last Visit: 08/03/2025 |
| Patient Name | Mr. AMIYA DEY | Contact No | |
| Address | SERAMPORE | Age | 31 Years,2 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||