Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05016 | Date 04/05/2019 |
| Token No | SM/19-20/2172 04/05/2019 | Serial | 032 Last Visit: 20/08/2025 |
| Patient Name | Mr. SATYANARAYAN PAL | Contact No | 9231637325 |
| Address | 54 DUTTA PARA LANE CHATRA | Age | 59 Years,7 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||