Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16370 | Date 17/12/2025 |
| Token No | SM/25-26/8845 17/12/2025 | Serial | 007 Last Visit: 17/12/2025 |
| Patient Name | Mr. SUBHADEEP KARMAKAR | Contact No | 8017512095 |
| Address | 111/B J N LAHIRI ROAD KHASNAGAR BOTTALA | Age | 28 Years,0 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||