Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16071 | Date 18/09/2025 |
| Token No | SM/25-26/8292 26/11/2025 | Serial | 026 Last Visit: 26/11/2025 |
| Patient Name | Mr. KALIPADA SOM | Contact No | 9230858509 |
| Address | KING ECLAVE APARTMENT 1ST FLOOR 26/D RAJA K L GOSWAMI STREET SERAMPORE | Age | 66 Years,3 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 132/74 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 22.219955 |
| Diagnosis | |||