Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00662 | Date 24/08/2018 |
| Token No | SM/19-20/7266 25/07/2019 | Serial | 019 Last Visit: 07/11/2025 |
| Patient Name | Mr. RATAN CH. MALIK | Contact No | 8013715708 |
| Address | KHAR PARA NATUN PALLI BAIDYABATI(M) | Age | 55 Years,10 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||