Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15580 | Date 17/06/2025 |
| Token No | SM/25-26/2654 17/06/2025 | Serial | 011 Last Visit: 28/07/2025 |
| Patient Name | Mr. LALTU MONDAL | Contact No | |
| Address | SERAMPORE | Age | 29 Years,1 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||