Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12102 | Date 19/05/2023 |
| Token No | SM/25-26/14439 27/08/2026 at 11:24 | Serial | 057 Last Visit: 27/08/2026 |
| Patient Name | Mr. BANAMALI PAKIRA | Contact No | 9874922511 |
| Address | 55 DHARMATALA LANE CHATRA SERAMPORE | Age | 45 Years,7 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 28.112193 |
| Diagnosis | |||