Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08797 | Date 29/09/2020 |
| Token No | SM/22-23/11428 05/04/2022 | Serial | 036 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 | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 18.507766 |
| Diagnosis | |||