Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08167 | Date 28/04/2020 |
| Token No | SM/19-20/21677 28/04/2020 | Serial | 026 Last Visit: 13/12/2025 |
| Patient Name | Mr. BIMAL KAR | Contact No | 9875532346 |
| Address | 515/F G.T. ROAD MAHESH | Age | 57 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||