Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01733 | Date 29/10/2018 |
| Token No | SM/18-19/3534 12/11/2018 | Serial | 012 Last Visit: 17/05/2025 |
| Patient Name | Mr. KALIPADA POREL | Contact No | 9874057826 |
| Address | 32, BHADURI LANE | Age | 44 Years,4 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||