Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16072 | Date 18/09/2025 |
| Token No | SM/25-26/6254 18/09/2025 | Serial | 028 Last Visit: 18/09/2025 |
| Patient Name | Mr. ARINDAM GHOSH | Contact No | 7797643518 |
| Address | BAMUNIYA MONTESWAR BURDWAN | Age | 31 Years,8 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||