Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15802 | Date 30/07/2025 |
| Token No | SM/25-26/4297 30/07/2025 | Serial | 062 Last Visit: 30/07/2025 |
| Patient Name | Mr. RITAM GHOSH | Contact No | 9339704280 |
| Address | NATAGARH, DIGRA | Age | 20 Years,5 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||