Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14597 | Date 23/11/2024 |
| Token No | SM/24-25/39856 23/11/2024 | Serial | 040 Last Visit: 29/11/2025 |
| Patient Name | Mr. PRABIR DAS | Contact No | 9231450745 |
| Address | 170/68 SHITLATALA JOL TANK , BAIDYABATI (M) | Age | 62 Years,4 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.7 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 20.709822 |
| Diagnosis | |||