Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13934 | Date 26/06/2024 |
| Token No | SM/25-26/5361 28/08/2025 | Serial | 008 Last Visit: 13/12/2025 |
| Patient Name | Mr. SOUMEN GHOSH | Contact No | 8910853347 |
| Address | 20/8/3 TELIPARA CHATRA BAIDYABATI (M) | Age | 31 Years,0 Months,10 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 94/57 mmHg | Weight | 45.8 KG |
| Pulse Rate | / min | Height | 174.5 cm BMI: 15.040927 |
| Diagnosis | |||