Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01796 | Date 31/10/2018 |
| Token No | SM/18-19/8711 14/02/2019 | Serial | 076 Last Visit: 04/12/2025 |
| Patient Name | Mr. DIPANKAR PARUI | Contact No | 9062335537 |
| Address | 1/1/B CHATRA LANKAR BAGAN, BAIDYABATI (M) | Age | 47 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||