Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14713 | Date 27/12/2024 |
| Token No | SM/25-26/6735 08/10/2025 | Serial | 034 Last Visit: 21/11/2025 |
| Patient Name | Mr. AJOY KUMAR BORAL | Contact No | 9051226192 |
| Address | 13 BENIA PARA LANE SERAMPORE | Age | 70 Years,7 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 26.854406 |
| Diagnosis | |||