Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15604 | Date 21/06/2025 |
| Token No | SM/25-26/4113 25/07/2025 | Serial | 051 Last Visit: 25/07/2025 |
| Patient Name | Mr. RAHUL MITRA | Contact No | 8910839104 |
| Address | 64/A S C CHATTERJEE SARANI MALLICKPARA | Age | 23 Years,11 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||