Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02838 | Date 05/01/2019 |
| Token No | SM/19-20/25509 08/09/2020 | Serial | 023 Last Visit: 07/11/2025 |
| Patient Name | Mr. DILIP MONDAL | Contact No | 8910928678 |
| Address | 28A CHAKRABORTY LANE | Age | 36 Years,10 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||