Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03064 | Date 18/01/2019 |
| Token No | SM/18-19/7029 18/01/2019 | Serial | 033 Last Visit: 25/08/2025 |
| Patient Name | Mr. ARJUN SOM | Contact No | 9836487805 |
| Address | 26 (17/A/F) GURUDAS BHATTCHARJEE LANE CHATRA, BAIDYABATI(M) | Age | 37 Years,3 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 88 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||