Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 16005 | Date 06/09/2025 |
| Token No | SM/25-26/5791 06/09/2025 | Serial | 052 Last Visit: 06/09/2025 |
| Patient Name | Mr. SOUBHIK SAMANTA | Contact No | 3335827099 |
| Address | 48 BOISHNAB PARA,2ND LANE | Age | 18 Years,7 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||