Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09903 | Date 03/08/2021 |
| Token No | SM/25-26/3652 16/07/2025 | Serial | 043 Last Visit: 29/12/2025 |
| Patient Name | Mr. MAHESHWAR MANDAL | Contact No | 9836640366 |
| Address | 17,BENIA PARA LANE SERAMPORE | Age | 75 Years,11 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.9 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 24.706885 |
| Diagnosis | |||