Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16247 | Date 06/11/2025 |
| Token No | SM/25-26/7652 06/11/2025 | Serial | 043 Last Visit: 06/11/2025 |
| Patient Name | Mr. SAGAR SANNYASHI | Contact No | 8902241452 |
| Address | 32/B, CHOWDHURY PARA LANE,SERAMPORE | Age | 29 Years,7 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||