Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02079 | Date 22/11/2018 |
| Token No | SM/19-20/5934 05/07/2019 | Serial | 097 Last Visit: 27/11/2025 |
| Patient Name | Mr. RAMENDRA NARAYAN SAHA | Contact No | 9239127058 |
| Address | 51/A1 THAKUR DAS BABU LANE | Age | 50 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||