Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00225 | Date 08/08/2018 |
| Token No | SM/20-21/28761 24/12/2020 | Serial | 044 Last Visit: 08/11/2025 |
| Patient Name | Mr. BIPADTARAN BERA | Contact No | 9874360230 |
| Address | 12 JAGOMOHAN LAHIRI LANE | Age | 59 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||