Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01252 | Date 20/09/2018 |
| Token No | SM/18-19/5724 24/12/2018 | Serial | 047 Last Visit: 25/01/2025 |
| Patient Name | Mr. ASIT DAS | Contact No | 9088717867 |
| Address | 26 CHATRA DHARMA TALA | Age | 73 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||