Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13986 | Date 04/07/2024 |
| Token No | SM/25-26/427 12/04/2025 | Serial | 041 Last Visit: 05/08/2025 |
| Patient Name | Mr. SANDIP SRIMANI | Contact No | 9830305569 |
| Address | 2/B /C AK C BHATTCHARYA STREET | Age | 42 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||