Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03077 | Date 18/01/2019 |
| Token No | SM/22-23/16687 13/09/2022 | Serial | 033 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 | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 22.499637 |
| Diagnosis | |||