Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15518 | Date 11/06/2025 |
| Token No | SM/25-26/2345 11/06/2025 | Serial | 002 Last Visit: 11/06/2025 |
| Patient Name | Mr. DEBASIS BANERJEE | Contact No | |
| Address | 9 CHOWDHURY PARA LANE | Age | 61 Years,2 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 138/79 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||