Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01270 | Date 22/09/2018 |
| Token No | SM/19-20/1451 23/04/2019 | Serial | 032 Last Visit: 04/12/2025 |
| Patient Name | Mr. ARUP DAS | Contact No | 9038485220 |
| Address | 65 CHATRA LANKAR BAGAN, | Age | 49 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 92 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||