Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16347 | Date 08/12/2025 |
| Token No | SM/25-26/8674 08/12/2025 | Serial | 025 Last Visit: 08/12/2025 |
| Patient Name | Mr. TINKARI PAL | Contact No | 7685860668 |
| Address | 61 GODAR BAGAN SITALATALA ROAD BAIDYABATI (M) | Age | 45 Years,1 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 117/80 mmHg | Weight | 61 KG |
| Pulse Rate | 87 / min | Height | 167 cm BMI: 21.872423 |
| Diagnosis | |||