Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02499 | Date 13/12/2018 |
| Token No | SM/18-19/5565 21/12/2018 | Serial | 015 Last Visit: 06/12/2025 |
| Patient Name | Mr. GOPAL CHANDRA DEY | Contact No | 8420352646 |
| Address | 35 A CHATRA BARUI PARA LANE | Age | 73 Years,11 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||