Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10581 | Date 18/01/2022 |
| Token No | SM/22-23/25419 16/10/2023 | Serial | 066 Last Visit: 17/12/2025 |
| Patient Name | Mr. AMAR SAMANTA | Contact No | 9051291238 |
| Address | 65,(20) MUKHERJEE PARA , BAIDYABATI(M) | Age | 70 Years,0 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.4 KG |
| Pulse Rate | / min | Height | 169.4 cm BMI: 22.790347 |
| Diagnosis | |||