Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05216 | Date 24/05/2019 |
| Token No | SM/20-21/26636 14/10/2020 | Serial | 006 Last Visit: 01/09/2025 |
| Patient Name | Mr. KRISHNA CH. DAS | Contact No | 8697161183 |
| Address | 53(22) CHATRA PATI PARA,BAIDYABATI(M) | Age | 49 Years,8 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||