Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 16206 | Date 28/10/2025 |
| Token No | SM/25-26/7334 28/10/2025 | Serial | 017 Last Visit: 28/11/2025 |
| Patient Name | Mr. DEBASIS DAS | Contact No | 9163157744 |
| Address | 64/B RAJA RAM MOHAN ROY SARANI SERAMPORE | Age | 66 Years,10 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 158/82 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||