Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15179 | Date 28/03/2025 |
| Token No | SM/25-26/2739 20/06/2025 | Serial | 003 Last Visit: 17/12/2025 |
| Patient Name | Mr. ALOK ROY | Contact No | 9007706278 |
| Address | 61/C SADGOPE PARA LANE BAIDYABATI (M) | Age | 65 Years,7 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/88 mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 22.444444 |
| Diagnosis | |||