Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02789 | Date 02/01/2019 |
| Token No | SM/18-19/6146 02/01/2019 | Serial | 055 Last Visit: 04/12/2025 |
| Patient Name | Mr. SHITAL SENAPATI | Contact No | 9143555982 |
| Address | 74 CHATRA MUKHERJEE PARA, BAIDYABATI (M) | Age | 60 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||