Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12102 | Date 19/05/2023 |
| Token No | SM/24-25/39475 16/11/2024 | Serial | 021 Last Visit: 17/12/2025 |
| Patient Name | Mr. BANAMALI PAKIRA | Contact No | 9874922511 |
| Address | 55 DHARMATALA LANE CHATRA SERAMPORE | Age | 44 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.7 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 26.542292 |
| Diagnosis | |||