Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08718 | Date 08/09/2020 |
| Token No | SM/25-26/9769 02/03/2026 at 10:26 | Serial | 004 Last Visit: 17/11/2025 |
| Patient Name | Mr. MADHAB CHANDRA DAS | Contact No | 7044350695 |
| Address | 3 SIDDHESWARI LANE CHATRA SERAMPORE | Age | 59 Years,2 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 123/70 mmHg | Weight | 50.4 KG |
| Pulse Rate | / min | Height | 145.8 cm BMI: 23.709123 |
| Diagnosis | |||