Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14860 | Date 20/01/2025 |
| Token No | SM/24-25/41901 20/01/2025 | Serial | 026 Last Visit: 20/01/2025 |
| Patient Name | Mr. MOUSUMI SANYAL | Contact No | 9903409396 |
| Address | 47/9/1 KUMIR JALA ROAD SERAMPORE | Age | 51 Years,0 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 23.840796 |
| Diagnosis | |||