Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01517 | Date 05/10/2018 |
| Token No | SM/18-19/5026 11/12/2018 | Serial | 006 Last Visit: 29/07/2025 |
| Patient Name | Mr. DEBJIT MUKHERJEE | Contact No | 9836488074 |
| Address | CHOWDHURY PARA, CHATRA | Age | 21 Years,6 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||