Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 16168 | Date 13/10/2025 |
| Token No | SM/25-26/6935 13/10/2025 | Serial | 022 Last Visit: 13/10/2025 |
| Patient Name | Mr. ASHISH KUMAR | Contact No | 8910070944 |
| Address | 10 M G ROAD SERAMPORE | Age | 25 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||