Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 15245 | Date 29/04/2025 |
| Token No | SM/25-26/883 29/04/2025 | Serial | 015 Last Visit: 29/04/2025 |
| Patient Name | Mr. PRITISH RANJAN SOM | Contact No | 9432873298 |
| Address | 17 A,DUTTA LANE,CHATRA, HOOGHLY | Age | 22 Years,3 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||