Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15532 | Date 11/06/2025 |
| Token No | SM/25-26/2397 11/06/2025 | Serial | 054 Last Visit: 16/06/2025 |
| Patient Name | Mr. JAYANTA SAHA | Contact No | 9831987432 |
| Address | 6 NO DR TP BHATTCHARYA STREET SERAMPORE | Age | 22 Years,4 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||