Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00450 | Date 14/08/2018 |
| Token No | SM/19-20/23878 07/07/2020 | Serial | 043 Last Visit: 27/12/2025 |
| Patient Name | Mr. PRADIP KR. DAS | Contact No | 9674263614 |
| Address | 43, DUTTA PARA LANE | Age | 73 Years,11 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||