Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12720 | Date 08/11/2023 |
| Token No | SM/25-26/8543 03/12/2025 | Serial | 049 Last Visit: 03/12/2025 |
| Patient Name | Mr. BARINDRA NATH DAS | Contact No | 8296973067 |
| Address | 132A.P GHOSH ROAD CHATRA SERAMPORE | Age | 62 Years,3 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.5 KG |
| Pulse Rate | / min | Height | 155.6 cm BMI: 28.292504 |
| Diagnosis | |||