Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16090 | Date 24/09/2025 |
| Token No | SM/25-26/8452 29/11/2025 | Serial | 042 Last Visit: 29/11/2025 |
| Patient Name | Mr. MANOJ MONDAL | Contact No | |
| Address | 24/I K L GOSWAMI STREET | Age | 73 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.7 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 24.066515 |
| Diagnosis | |||