Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15155 | Date 20/03/2025 |
| Token No | SM/24-25/44055 20/03/2025 | Serial | 028 Last Visit: 19/04/2025 |
| Patient Name | Mr. SHYAM NANDAN SHA | Contact No | |
| Address | 13 RABINDRA BHAWAN SERAMPORE | Age | 50 Years,3 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||