Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02666 | Date 24/12/2018 |
| Token No | SM/19-20/19052 04/03/2020 | Serial | 026 Last Visit: 20/01/2025 |
| Patient Name | Mr. GOPAL CHANDRA PAUL | Contact No | 9433507574 |
| Address | 30 SHITALATALA ROAD BAIDYABATI CHATRA | Age | 87 Years,11 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||