Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12227 | Date 11/07/2023 |
| Token No | SM/25-26/8899 18/12/2025 | Serial | 003 Last Visit: 18/12/2025 |
| Patient Name | Mr. NETAI CHANDA SEAL | Contact No | |
| Address | 28 RAJA K.L.GOSWAMI STREET, SERAMPORE | Age | 83 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/72 mmHg | Weight | 50.2 KG |
| Pulse Rate | / min | Height | 165 cm BMI: 18.438935 |
| Diagnosis | |||