Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12430 | Date 04/09/2023 |
| Token No | SM/25-26/2953 25/06/2025 | Serial | 069 Last Visit: 26/11/2025 |
| Patient Name | Mr. RANJIT KUMAR BISWAS | Contact No | 8274941984 |
| Address | 176(72E/5) BAGER BAGAN CHATRA, BAIDYABATI(M) | Age | 70 Years,0 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||