Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12559 | Date 06/10/2023 |
| Token No | SM/22-23/26751 05/12/2023 | Serial | 009 Last Visit: 18/12/2025 |
| Patient Name | Mr. CHUNILAL CHAKRABORTTY | Contact No | 9339620741 |
| Address | 38 HARI MOHAN GOSWAMI STREET | Age | 55 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 167/79 mmHg | Weight | 67.2 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 25.292634 |
| Diagnosis | |||