Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00628 | Date 23/08/2018 |
| Token No | SM/21-22/2859 05/07/2021 | Serial | 043 Last Visit: 04/12/2025 |
| Patient Name | Mr. BIMAL CHANDRA PAL | Contact No | 7890054555 |
| Address | 10/A KUMOR PARA LANE, CHATRA | Age | 63 Years,11 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||