Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01495 | Date 04/10/2018 |
| Token No | SM/19-20/12809 06/11/2019 | Serial | 062 Last Visit: 18/12/2025 |
| Patient Name | Mr. JOYDEB DAS | Contact No | 9433640374 |
| Address | 30/B CHATRA DHARMOTALA | Age | 54 Years,11 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||