Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 15708 | Date 18/07/2025 |
| Token No | SM/25-26/3738 18/07/2025 | Serial | 010 Last Visit: 18/07/2025 |
| Patient Name | Mr. SUSANTA KUMAR SIL | Contact No | 9732842606 |
| Address | 5/A CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 63 Years,6 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.9 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 25.093998 |
| Diagnosis | |||