Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16122 | Date 04/10/2025 |
| Token No | SM/25-26/6662 04/10/2025 | Serial | 007 Last Visit: 04/10/2025 |
| Patient Name | Mr. DEBANGSHU MALLIK | Contact No | |
| Address | SERTAMPORE | Age | 22 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||