Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12284 | Date 25/07/2023 |
| Token No | SM/25-26/8698 08/12/2025 | Serial | 049 Last Visit: 08/12/2025 |
| Patient Name | Mr. DIPANJAN MONDAL | Contact No | 9635472341 |
| Address | CHATRA LAHIRI PARA | Age | 28 Years,10 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||