Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12057 | Date 27/04/2023 |
| Token No | SM/22-23/21444 04/05/2023 | Serial | 014 Last Visit: 13/10/2025 |
| Patient Name | Mr. SANJOY KOLEY | Contact No | 9382502661 |
| Address | PAHALASMPUR KOLEY PARA | Age | 41 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 164.2 cm BMI: 16.690379 |
| Diagnosis | |||