Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15647 | Date 02/07/2025 |
| Token No | SM/25-26/3870 19/07/2025 | Serial | 084 Last Visit: 19/07/2025 |
| Patient Name | Mr. NITAI MONDAL | Contact No | 8334991970 |
| Address | 10/G ROY M C LAHIRIR STREET CHATRA SERAMPORE | Age | 66 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.3 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 20.787654 |
| Diagnosis | |||