Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15911 | Date 18/08/2025 |
| Token No | SM/25-26/5016 18/08/2025 | Serial | 073 Last Visit: 18/08/2025 |
| Patient Name | Mr. UTTAM KUMAR KOIRY | Contact No | 6291066210 |
| Address | 11 T P BHATTCHARYA STREET SERAMPORE | Age | 52 Years,0 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 126/83 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||