Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15126 | Date 13/03/2025 |
| Token No | SM/24-25/43911 13/03/2025 | Serial | 025 Last Visit: 13/03/2025 |
| Patient Name | Mr. ANIMESH DUTTA | Contact No | |
| Address | 48 NO BP SERAMPORE | Age | 38 Years,2 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||