Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16374 | Date 17/12/2025 |
| Token No | SM/25-26/8870 17/12/2025 | Serial | 032 Last Visit: 17/12/2025 |
| Patient Name | Mr. NADAN PAUL | Contact No | 6290732493 |
| Address | 11, A K DUTTA SARANI CHATRA SERAMPORE | Age | 32 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 107/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||