Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15769 | Date 26/07/2025 |
| Token No | SM/25-26/4186 26/07/2025 | Serial | 056 Last Visit: 26/07/2025 |
| Patient Name | Mr. MANAS KUMAR LAHA | Contact No | 9331916247 |
| Address | 28A/1 KUMOR PARA CHATRA SERAMPORE | Age | 66 Years,0 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/89 mmHg | Weight | 90.3 KG |
| Pulse Rate | / min | Height | 177.5 cm BMI: 28.660980 |
| Diagnosis | |||