Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17197 | Date 29/08/2026 |
| Token No | SM/25-26/14477 29/08/2026 at 10:30 | Serial | 016 Last Visit: |
| Patient Name | Mr. PALLAB DAS | Contact No | 9836061187 |
| Address | 22/1 PATIPARA CHATRA SERAMPORE BAIDYABTI (M) | Age | 38 Years,1 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 28.934069 |
| Diagnosis | |||