Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16198 | Date 22/10/2025 |
| Token No | SM/25-26/7257 22/10/2025 | Serial | 027 Last Visit: 29/10/2025 |
| Patient Name | Mr. DWIJENDI NATH KUNDU | Contact No | 9333858986 |
| Address | 11 BHATTCHARJEE LANE SERAMPORE | Age | 77 Years,9 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.7 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 22.940214 |
| Diagnosis | |||