Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 16155 | Date 10/10/2025 |
| Token No | SM/25-26/6947 13/10/2025 | Serial | 034 Last Visit: 13/10/2025 |
| Patient Name | Mr. KANCHAN CHANDRA SHIL | Contact No | 9051391297 |
| Address | 259 CHARABAGAN BARUIPARA BAIDYABATI (M) | Age | 55 Years,7 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.2 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 16.316337 |
| Diagnosis | |||