Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15511 | Date 10/06/2025 |
| Token No | SM/25-26/2335 10/06/2025 | Serial | 010 Last Visit: 10/06/2025 |
| Patient Name | Mr. SUBRATA BASAK | Contact No | |
| Address | SERAMPORE | Age | 37 Years,3 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||