Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00690 | Date 25/08/2018 |
| Token No | SM/18-19/1203 04/09/2018 | Serial | 039 Last Visit: 19/11/2025 |
| Patient Name | Mr. MAHADEB ROY | Contact No | 8420133790 |
| Address | CHATRA MANNA PARA, BAIDYABATI(M) | Age | 47 Years,10 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 157/82 mmHg | Weight | 49 KG |
| Pulse Rate | 87 / min | Height | cm BMI: inf |
| Diagnosis | |||