Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05077 | Date 11/05/2019 |
| Token No | SM/19-20/15593 19/12/2019 | Serial | 022 Last Visit: 22/12/2025 |
| Patient Name | Mr. SANAT NAG | Contact No | 8017093407 |
| Address | 54,A.P.GHOSH ROAD CHATRA | Age | 67 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||