Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00006 | Date 01/08/2018 |
| Token No | SM/25-26/9807 02/03/2026 at 11:13 | Serial | 042 Last Visit: 02/02/2026 |
| Patient Name | Mr. NEMAI PAL | Contact No | 8420312039 |
| Address | 19 CHATRA BAZER ROAD SERAMPORE | Age | 73 Years,2 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.1 KG |
| Pulse Rate | / min | Height | 152.8 cm BMI: 17.175036 |
| Diagnosis | |||