Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13716 | Date 20/05/2024 |
| Token No | SM/25-26/6136 13/09/2025 | Serial | 009 Last Visit: 13/09/2025 |
| Patient Name | Mr. SAYAN DEY | Contact No | |
| Address | serampore | Age | 28 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||