Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15970 | Date 30/08/2025 |
| Token No | SM/25-26/5476 30/08/2025 | Serial | 030 Last Visit: 30/08/2025 |
| Patient Name | Mr. SAMIRAN DAS | Contact No | 8585876398 |
| Address | 96/D/A G T ROAD BAIDYABATI (M) | Age | 57 Years,7 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.9 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 26.442821 |
| Diagnosis | |||