Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00137 | Date 06/08/2018 |
| Token No | SM/18-19/11267 26/03/2019 | Serial | 060 Last Visit: 25/09/2025 |
| Patient Name | Mr. PRADIP KUMAR SOM | Contact No | 9339037247 |
| Address | 127, CHATRA BARUI PARA LANE | Age | 58 Years,8 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||