Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03077 | Date 18/01/2019 |
| Token No | SM/18-19/7064 18/01/2019 | Serial | 068 Last Visit: 29/11/2025 |
| Patient Name | Mr. SAMIR DAS | Contact No | 8902479437 |
| Address | 3/B CHATRA GHOSH PARA 2ND LANE SERAMPORE | Age | 54 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 64.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||