Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08655 | Date 22/08/2020 |
| Token No | SM/19-20/25037 22/08/2020 | Serial | 006 Last Visit: 27/01/2025 |
| Patient Name | Mr. BAIDYANATH DUTTA | Contact No | 9831423276 |
| Address | 84 A CHATRA,BARUI PARA LANE | Age | 62 Years,5 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||