Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06599 | Date 08/10/2019 |
| Token No | SM/25-26/2853 23/06/2025 | Serial | 015 Last Visit: 23/06/2025 |
| Patient Name | Mr. ASHOK DAS | Contact No | |
| Address | serampore | Age | 46 Years,3 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||