Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01283 | Date 24/09/2018 |
| Token No | SM/20-21/29551 19/01/2021 | Serial | 045 Last Visit: 18/09/2023 |
| Patient Name | Mr. KISHORE KR DAS | Contact No | 9339632933 |
| Address | 8B, BENIAPARA LANE | Age | 62 Years,8 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||