Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12952 | Date 16/12/2023 |
| Token No | SM/25-26/6650 27/09/2025 | Serial | 034 Last Visit: 27/09/2025 |
| Patient Name | Mr. MD SAMSER | Contact No | |
| Address | CHATRA MUSALMAN PARA , BAIDYABATI (M) | Age | 44 Years,8 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||