Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16056 | Date 13/09/2025 |
| Token No | SM/25-26/6142 13/09/2025 | Serial | 015 Last Visit: 13/09/2025 |
| Patient Name | Mr. SANDEEP MUKHERJEE | Contact No | |
| Address | SERAMPORE | Age | 21 Years,3 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||