Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14340 | Date 01/10/2024 |
| Token No | SM/24-25/37856 01/10/2024 | Serial | 047 Last Visit: 13/11/2025 |
| Patient Name | Mr. SK SHAHARUCK | Contact No | 9804717481 |
| Address | 6/B KANHAI DEWAN TALA LANE SERAMPORE | Age | 30 Years,7 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 104/61 mmHg | Weight | 60 KG |
| Pulse Rate | 76 / min | Height | 165.5 cm BMI: 21.905605 |
| Diagnosis | |||