Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16315 | Date 24/11/2025 |
| Token No | SM/25-26/8251 24/11/2025 | Serial | 018 Last Visit: 24/11/2025 |
| Patient Name | Mr. UTTAM PAKHIRA | Contact No | 8240419811 |
| Address | CHATRA,SERAMPORE | Age | 57 Years,8 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||