Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15720 | Date 19/07/2025 |
| Token No | SM/25-26/3840 19/07/2025 | Serial | 054 Last Visit: 19/07/2025 |
| Patient Name | Mr. SOURISH SARKAR | Contact No | 8582833369 |
| Address | G T ROAD PAMPA NAGAR CHATRA BAIDYABATI (M) | Age | 18 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||