Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00040 | Date 02/08/2018 |
| Token No | SM/25-26/14492 29/08/2026 at 10:57 | Serial | 031 Last Visit: 25/07/2026 |
| Patient Name | Mr. SAMBHUNATH PAL | Contact No | 9830045006 |
| Address | 36, CHATRA KUMARA PARA SERAMPORE | Age | 55 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 133/67 mmHg | Weight | 50.7 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 20.054586 |
| Diagnosis | |||