Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00281 | Date 09/08/2018 |
| Token No | SM/21-22/7519 07/12/2021 | Serial | 015 Last Visit: 25/11/2025 |
| Patient Name | Mr. MONIKANCHAN DEY | Contact No | 7278675993 |
| Address | 2, DUTTA PARA LANE , CHATRA | Age | 43 Years,10 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||