Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15209 | Date 12/04/2025 |
| Token No | SM/25-26/6580 26/09/2025 | Serial | 009 Last Visit: 26/09/2025 |
| Patient Name | Mr. AMIT DAS | Contact No | |
| Address | serampore | Age | 15 Years,6 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||