Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16321 | Date 28/11/2025 |
| Token No | SM/25-26/8397 28/11/2025 | Serial | 035 Last Visit: 28/11/2025 |
| Patient Name | Mr. SUJIT KUNDU | Contact No | 8100124515 |
| Address | 17/C GURUDAS BHATTCHARJEE LANE CHATRA SHITLATAL SERAMPORE | Age | 60 Years,6 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 121/71 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||