Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00151 | Date 06/08/2018 |
| Token No | SM/19-20/5918 05/07/2019 | Serial | 081 Last Visit: 10/03/2025 |
| Patient Name | Mr. JADAB MONDAL | Contact No | 8017847064 |
| Address | 1, CHATRA BARUI PARA LANE | Age | 76 Years,2 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||