Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12196 | Date 03/07/2023 |
| Token No | SM/22-23/22555 03/07/2023 | Serial | 026 Last Visit: 08/03/2025 |
| Patient Name | Mr. PROBIR SEAL | Contact No | 7980333534 |
| Address | 28 RAJA K L GOSWAMI STREET | Age | 47 Years,2 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/75 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | 164.9 cm BMI: 26.478366 |
| Diagnosis | |||