Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16252 | Date 07/11/2025 |
| Token No | SM/25-26/7746 08/11/2025 | Serial | 028 Last Visit: 08/11/2025 |
| Patient Name | Mr. CHIRANJIB SARKAR | Contact No | 8777407728 |
| Address | 61/A THAKUR DAS BABU LANE , SERAMPORE | Age | 47 Years,5 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/78 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 22.679952 |
| Diagnosis | |||