Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15531 | Date 11/06/2025 |
| Token No | SM/25-26/2381 11/06/2025 | Serial | 038 Last Visit: 11/06/2025 |
| Patient Name | Mr. ANGSHUMAN SAMADDER | Contact No | 9433229078 |
| Address | H NO. 14/C/2 BAHIR SERAMPORE ROAD MALLICK ARA | Age | 41 Years,2 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 94.3 KG |
| Pulse Rate | / min | Height | 169 cm BMI: 33.017051 |
| Diagnosis | |||