Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13740 | Date 23/05/2024 |
| Token No | SM/25-26/879 29/04/2025 | Serial | 011 Last Visit: 29/04/2025 |
| Patient Name | Mr. SUJAY SANTRA | Contact No | |
| Address | CHARA BAGAN BAIDYABATI | Age | 36 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||