Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15917 | Date 20/08/2025 |
| Token No | SM/25-26/5044 20/08/2025 | Serial | 005 Last Visit: 20/08/2025 |
| Patient Name | Mr. PRITAM SARKAR | Contact No | |
| Address | SERAMPORE | Age | 24 Years,4 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||