Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13583 | Date 22/04/2024 |
| Token No | SM/25-26/1755 26/05/2025 | Serial | 005 Last Visit: 26/05/2025 |
| Patient Name | Mr. KARTIK DAS | Contact No | |
| Address | serampore | Age | 28 Years,4 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||