Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15872 | Date 09/08/2025 |
| Token No | SM/25-26/4715 09/08/2025 | Serial | 018 Last Visit: 09/08/2025 |
| Patient Name | Mr. SHUVA DAS | Contact No | 6289426718 |
| Address | NABIN CHAKRABORTY LANE | Age | 28 Years,11 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||