Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04736 | Date 17/04/2019 |
| Token No | SM/25-26/5761 06/09/2025 | Serial | 022 Last Visit: 11/09/2025 |
| Patient Name | Mr. ASHU BISWAS | Contact No | 7439364150 |
| Address | KHAR PARA KALI TALA LANE , BAIDYABATI(M) | Age | 21 Years,10 Months,3 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||