Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16646 | Date 16/04/2026 |
| Token No | SM/25-26/14391 27/08/2026 at 10:18 | Serial | 009 Last Visit: 27/08/2026 |
| Patient Name | Mr. DILIP KUMAR MAITY | Contact No | 9143231343 |
| Address | 5/A/2 BARA BAGAN LANE | Age | 53 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 113/72 mmHg | Weight | 72 KG |
| Pulse Rate | 68 / min | Height | 163.4 cm BMI: 26.966737 |
| Diagnosis | |||