Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06635 | Date 14/10/2019 |
| Token No | SM/19-20/11711 14/10/2019 | Serial | 105 Last Visit: 07/10/2025 |
| Patient Name | Mr. BISHWANATH DAS | Contact No | 9681248032 |
| Address | SATCHASI PARA CHATRA | Age | 50 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||