Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06535 | Date 25/09/2019 |
| Token No | SM/19-20/16901 20/01/2020 | Serial | 014 Last Visit: 13/12/2025 |
| Patient Name | Mr. SUKHENDU GUIN | Contact No | 8582856705 |
| Address | 90/A/2 CHATRA ,BARUI PARA LANE | Age | 54 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||