Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02333 | Date 04/12/2018 |
| Token No | SM/18-19/4656 04/12/2018 | Serial | 042 Last Visit: 15/11/2025 |
| Patient Name | Mr. DEEP BERA | Contact No | 7890002129 |
| Address | 14 CHATRA BAZAR ROAD | Age | 32 Years,2 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||