Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09729 | Date 18/06/2021 |
| Token No | SM/22-23/14303 05/07/2022 | Serial | 004 Last Visit: 08/08/2025 |
| Patient Name | Mr. SK ISAK ALI | Contact No | 9883801881 |
| Address | 127/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 68 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 172.4 cm BMI: 20.523684 |
| Diagnosis | |||