Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02581 | Date 18/12/2018 |
| Token No | SM/18-19/5419 18/12/2018 | Serial | 028 Last Visit: 16/04/2025 |
| Patient Name | Mr. BHABESH CHANDRA JANA | Contact No | 9239273473 |
| Address | CHATRA POMPA NAGAR,G T ROAD,BAIDYABATI(M) | Age | 66 Years,6 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||