Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15776 | Date 28/07/2025 |
| Token No | SM/25-26/4214 28/07/2025 | Serial | 022 Last Visit: 28/07/2025 |
| Patient Name | Mr. SUKANTA KUNDU | Contact No | |
| Address | 41 K.K.M SARANI | Age | 47 Years,2 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||