Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12515 | Date 25/09/2023 |
| Token No | SM/22-23/24689 25/09/2023 | Serial | 012 Last Visit: 25/07/2025 |
| Patient Name | Mr. CHANDAN RAY | Contact No | 9831477852 |
| Address | 5 C DR. G C GOSWAMI STREET SERAMPORE | Age | 48 Years,9 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 49.7 KG |
| Pulse Rate | / min | Height | 172 cm BMI: 16.799621 |
| Diagnosis | |||