Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00137 | Date 06/08/2018 |
| Token No | SM/19-20/15474 17/12/2019 | Serial | 025 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 | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||