Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00137 | Date 06/08/2018 |
| Token No | SM/18-19/7306 22/01/2019 | Serial | 077 Last Visit: 25/09/2025 |
| Patient Name | Mr. PRADIP KUMAR SOM | Contact No | 9339037247 |
| Address | 127, CHATRA BARUI PARA LANE | Age | 58 Years,8 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||