Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11716 | Date 28/11/2022 |
| Token No | SM/25-26/8630 06/12/2025 | Serial | 027 Last Visit: 06/12/2025 |
| Patient Name | Mr. RAGHUNATH KUNDU | Contact No | 9007520909 |
| Address | 5 CHOWDHURY PARA BYE LANE SERAMPORE | Age | 91 Years,9 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||