Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14247 | Date 10/09/2024 |
| Token No | SM/25-26/1276 12/05/2025 | Serial | 021 Last Visit: 11/08/2025 |
| Patient Name | Mr. SUJIT CHAKRABORTY | Contact No | 9123721005 |
| Address | 18 BHADURI LANE BLOCKB FL-504 JANMOBHUMI KUNJ APPT | Age | 65 Years,10 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 103/70 mmHg | Weight | 84.3 KG |
| Pulse Rate | / min | Height | 178 cm BMI: 26.606489 |
| Diagnosis | |||