Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16181 | Date 15/10/2025 |
| Token No | SM/25-26/7074 15/10/2025 | Serial | 072 Last Visit: 15/10/2025 |
| Patient Name | Mr. DIBAKAR SEN | Contact No | |
| Address | SERAMPORE | Age | 28 Years,6 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||