Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10184 | Date 07/10/2021 |
| Token No | SM/25-26/5592 02/09/2025 | Serial | 011 Last Visit: 02/09/2025 |
| Patient Name | Mr. SWASATA DAS | Contact No | 9051283848 |
| Address | CHATRA SERAMPORE HAROBABU GHAT | Age | 22 Years,8 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||