Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01698 | Date 27/10/2018 |
| Token No | SM/19-20/6642 17/07/2019 | Serial | 014 Last Visit: 29/10/2025 |
| Patient Name | Mr. SUBHANKAR PARUI | Contact No | 9051625131 |
| Address | 4 SUDHIR CHANDRA LEHERI LANE | Age | 28 Years,0 Months,6 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||