Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16356 | Date 13/12/2025 |
| Token No | SM/25-26/8771 13/12/2025 | Serial | 020 Last Visit: 13/12/2025 |
| Patient Name | Mr. PRAFULLA PAL | Contact No | 7044731884 |
| Address | 8 BHADURI PARA CHATRA SERAMPORE | Age | 68 Years,11 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||