Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14052 | Date 18/07/2024 |
| Token No | SM/25-26/8391 28/11/2025 | Serial | 029 Last Visit: 28/11/2025 |
| Patient Name | Mr. SWARUP DAS | Contact No | 9230697200 |
| Address | 18/A A.P GHOSH ROAD SERAMPORE | Age | 58 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71.1 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 25.802003 |
| Diagnosis | |||