Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14188 | Date 23/08/2024 |
| Token No | SM/25-26/6598 26/09/2025 | Serial | 027 Last Visit: 26/09/2025 |
| Patient Name | Mr. SUBRATA GHOSH | Contact No | |
| Address | ASTAI,PURBA BARDHAMAN | Age | 23 Years,11 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||