Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03562 | Date 13/02/2019 |
| Token No | SM/25-26/4889 14/08/2025 | Serial | 017 Last Visit: 26/11/2025 |
| Patient Name | Mr. MODAN BENERJEE | Contact No | 9163100344 |
| Address | 13 CHATRA DHARMATALA LANE, SERAMPORE | Age | 64 Years,10 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76.6 KG |
| Pulse Rate | / min | Height | 159.4 cm BMI: 30.147558 |
| Diagnosis | |||