Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16246 | Date 06/11/2025 |
| Token No | SM/25-26/7641 06/11/2025 | Serial | 032 Last Visit: 06/11/2025 |
| Patient Name | Mr. JEET MALIK | Contact No | 6289936553 |
| Address | 135 BAGER BAGAN BAIDYABTI (M) | Age | 19 Years,3 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||