Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17352 | Date 26/10/2026 |
| Token No | SM/25-26/15832 26/10/2026 at 10:19 | Serial | 011 Last Visit: 26/10/2026 |
| Patient Name | Mr. HEMANTA KUMAR DUTTA | Contact No | 9051718534 |
| Address | 47/B CHATRA BARUI PARA LANE CHATRA SERAMPORWE | Age | 53 Years,9 Months,23 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 131/75 mmHg | Weight | 61 KG |
| Pulse Rate | 105 / min | Height | 158 cm BMI: 24.435187 |
| Diagnosis | |||