Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00474 | Date 16/08/2018 |
| Token No | SM/21-22/8294 30/12/2021 | Serial | 025 Last Visit: 18/12/2025 |
| Patient Name | Mr. CHINMOY SOM | Contact No | 9836074282 |
| Address | 17D, CHATRA DUTTA PARA LANE | Age | 59 Years,3 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 20.576132 |
| Diagnosis | |||