Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02589 | Date 19/12/2018 |
| Token No | SM/19-20/4977 21/06/2019 | Serial | 003 Last Visit: 31/05/2025 |
| Patient Name | Mr. UTTAM DAS | Contact No | 7278180530 |
| Address | S.S BOSE SARANY, BAIDYABATI (M) | Age | 54 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||