Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03346 | Date 04/02/2019 |
| Token No | SM/19-20/7865 05/08/2019 | Serial | 004 Last Visit: 16/08/2025 |
| Patient Name | Mr. DEB KUMAR SIT | Contact No | 7450926163 |
| Address | SHIBTALA | Age | 55 Years,7 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||