Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12714 | Date 06/11/2023 |
| Token No | SM/22-23/25981 06/11/2023 | Serial | 023 Last Visit: 10/12/2025 |
| Patient Name | Mr. SIDDHARTHA SANKAR SOM | Contact No | 9883217493 |
| Address | 118/A BARUI PARA LANE CHATRA SERAMPORE | Age | 58 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.8 KG |
| Pulse Rate | / min | Height | 164.2 cm BMI: 21.066968 |
| Diagnosis | |||