Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01626 | Date 11/10/2018 |
| Token No | SM/18-19/2770 11/10/2018 | Serial | 033 Last Visit: 29/01/2024 |
| Patient Name | Mr. GAUTAM SETH | Contact No | 9883831015 |
| Address | 470(309), G.T. ROAD, CHATRA, BAIDYABATI M | Age | 55 Years,0 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||