Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03053 | Date 17/01/2019 |
| Token No | SM/21-22/6246 25/10/2021 | Serial | 068 Last Visit: 21/06/2025 |
| Patient Name | Mr. KALIPADA DEY | Contact No | 9830714003 |
| Address | 3/168 MAHESH COLLNEY | Age | 47 Years,5 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||