Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02838 | Date 05/01/2019 |
| Token No | SM/25-26/14425 27/08/2026 at 10:55 | Serial | 043 Last Visit: 27/08/2026 |
| Patient Name | Mr. DILIP MONDAL | Contact No | 8910928678 |
| Address | 28A CHAKRABORTY LANE | Age | 37 Years,7 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 128/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | 170.5 cm BMI: 23.735606 |
| Diagnosis | |||