Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05562 | Date 25/06/2019 |
| Token No | SM/19-20/5270 25/06/2019 | Serial | 026 Last Visit: 13/12/2025 |
| Patient Name | Mr. RABIN MONDAL | Contact No | 9874864241 |
| Address | CHATRA MUSALMAN PARA | Age | 54 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||