Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15713 | Date 19/07/2025 |
| Token No | SM/25-26/3813 19/07/2025 | Serial | 027 Last Visit: 19/07/2025 |
| Patient Name | Mr. BUBAI GHOSH | Contact No | |
| Address | SRAMPORE | Age | 25 Years,0 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||