Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15709 | Date 18/07/2025 |
| Token No | SM/25-26/3759 18/07/2025 | Serial | 031 Last Visit: 18/07/2025 |
| Patient Name | Mr. RAMANATH MONDAL | Contact No | 9007863554 |
| Address | CHOTOBELU BELUMILKI | Age | 43 Years,5 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.9 KG |
| Pulse Rate | / min | Height | 172 cm BMI: 19.233369 |
| Diagnosis | |||