Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06023 | Date 01/08/2019 |
| Token No | SM/19-20/7680 01/08/2019 | Serial | 011 Last Visit: 23/07/2025 |
| Patient Name | Mr. RAJESH PAKRE | Contact No | 7890512358 |
| Address | 7796/5 CHATRA MANNA PARA RAM KRISHNA ROAD, BAIDYABATI(M) | Age | 43 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||