Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15128 | Date 17/03/2025 |
| Token No | SM/24-25/43920 17/03/2025 | Serial | 006 Last Visit: 17/03/2025 |
| Patient Name | Mr. SUJAN SAMANTA | Contact No | 7478165093 |
| Address | CHATRA P N MUKHERJEE STREET | Age | 28 Years,2 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||