Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00074 | Date 03/08/2018 |
| Token No | SM/18-19/2080 26/09/2018 | Serial | 009 Last Visit: 12/08/2025 |
| Patient Name | Mr. RABINDRA NATH GHOSH | Contact No | 9836087052 |
| Address | 11, DR. P. N MUKHERJEE STREET, CHATRA | Age | 80 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||