Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12717 | Date 07/11/2023 |
| Token No | SM/22-23/26359 22/11/2023 | Serial | 004 Last Visit: 31/01/2024 |
| Patient Name | Mr. BANA BEHARI CHAKRABORTY | Contact No | 7686974977 |
| Address | FLAT NO-G/2/B BLOCK -B HOLDING NO.-6/I/4/A, USHA APPARTMENT RAI M C LAHIRI BAHADUR STREET SERAMPORE | Age | 62 Years,3 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 158/92 mmHg | Weight | 41.3 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 18.983051 |
| Diagnosis | |||