Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13934 | Date 26/06/2024 |
| Token No | SM/25-26/6561 25/09/2025 | Serial | 044 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, | Charge | Free |
| B.P | 102/48 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 174.5 cm BMI: 16.091822 |
| Diagnosis | |||