Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15732 | Date 21/07/2025 |
| Token No | SM/25-26/4247 30/07/2025 | Serial | 012 Last Visit: 30/07/2025 |
| Patient Name | Mr. BAIDYANATH BASALI | Contact No | 6290833420 |
| Address | 18/F G T ROAD SERAMPORE BAIDYABATI (M) | Age | 72 Years,6 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.8 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 15.842530 |
| Diagnosis | |||