Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16188 | Date 16/10/2025 |
| Token No | SM/25-26/7096 16/10/2025 | Serial | 016 Last Visit: 16/10/2025 |
| Patient Name | Mr. GOUTAM SAHA | Contact No | |
| Address | SERAMPORE | Age | 28 Years,0 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||