Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15930 | Date 25/08/2025 |
| Token No | SM/25-26/5656 04/09/2025 | Serial | 006 Last Visit: 23/09/2025 |
| Patient Name | Mr. ASHOK BANERJEE | Contact No | |
| Address | 54/N BAHIR SERAMPORE | Age | 60 Years,8 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.3 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 16.523438 |
| Diagnosis | |||