Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15706 | Date 18/07/2025 |
| Token No | SM/25-26/3732 18/07/2025 | Serial | 004 Last Visit: 09/08/2025 |
| Patient Name | Mr. RAJIB DEY | Contact No | |
| Address | SERAMPORE | Age | 30 Years,5 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||