Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16157 | Date 10/10/2025 |
| Token No | SM/25-26/6818 10/10/2025 | Serial | 009 Last Visit: 10/10/2025 |
| Patient Name | Mr. TRISHANJEET BANIK | Contact No | 7439528612 |
| Address | 5 NO KOLONEY DAKSHIN RAJYADHARPUR | Age | 19 Years,9 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80.9 KG |
| Pulse Rate | / min | Height | 172.5 cm BMI: 27.187566 |
| Diagnosis | |||