Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00303 | Date 10/08/2018 |
| Token No | SM/18-19/3874 19/11/2018 | Serial | 041 Last Visit: 14/06/2025 |
| Patient Name | Mr. BHARAT DAS | Contact No | |
| Address | 17 NO P. N. K BANERJEE LANE, CHATRA SERAMPORE | Age | 49 Years,10 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||