Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15246 | Date 29/04/2025 |
| Token No | SM/25-26/884 29/04/2025 | Serial | 016 Last Visit: 29/04/2025 |
| Patient Name | Mr. SHIBASISH ROY | Contact No | |
| Address | SUBHAS NAGAR,PANIHATI ,SODEPUR,WEST BENGAL,PIN-700110 | Age | 20 Years,7 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||