Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08797 | Date 29/09/2020 |
| Token No | SM/21-22/9520 01/02/2022 | Serial | 025 Last Visit: 13/12/2025 |
| Patient Name | Mr. SAILA KUMAR DAS | Contact No | 9143224472 |
| Address | 26 P. N. K. B. LANE CHATRA SERAMPORE | Age | 74 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/100 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||