Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14242 | Date 09/09/2024 |
| Token No | SM/24-25/40488 10/12/2024 | Serial | 002 Last Visit: 28/11/2025 |
| Patient Name | Mr. SUBRATA BANERJEE | Contact No | 8013457945 |
| Address | 151/2 DEAWAN BAGAN BAIDYABATI | Age | 65 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.8 KG |
| Pulse Rate | / min | Height | 159.5 cm BMI: 19.575279 |
| Diagnosis | |||