Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16322 | Date 28/11/2025 |
| Token No | SM/25-26/8402 28/11/2025 | Serial | 040 Last Visit: 28/11/2025 |
| Patient Name | Mr. DHANANJAY DUTTA | Contact No | 9883883696 |
| Address | 32/1 GURUDAS BHATTCHARYA LANE CHATRA BAIDYABATI (M) | Age | 65 Years,10 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 175/95 mmHg | Weight | KG |
| Pulse Rate | 93 / min | Height | cm BMI: nan |
| Diagnosis | |||