Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 16171 | Date 13/10/2025 |
| Token No | SM/25-26/6971 13/10/2025 | Serial | 058 Last Visit: 01/11/2025 |
| Patient Name | Mr. SAMIR BANERJEE | Contact No | 8910689920 |
| Address | CHAK NATUN PARA BAIDYABATI (M) | Age | 49 Years,11 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.6 KG |
| Pulse Rate | / min | Height | 166.5 cm BMI: 19.695371 |
| Diagnosis | |||