Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07785 | Date 14/03/2020 |
| Token No | SM/19-20/19601 14/03/2020 | Serial | 004 Last Visit: 21/11/2025 |
| Patient Name | Mr. SUKUMAR NAYEK | Contact No | 7449644959 |
| Address | 105 (39) D N MUKHERJEE ROAD, BAIDYABATI(M) | Age | 52 Years,6 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||