Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06671 | Date 17/10/2019 |
| Token No | SM/21-22/7609 09/12/2021 | Serial | 024 Last Visit: 17/11/2025 |
| Patient Name | Mr. ARUN DAS | Contact No | 9836469170 |
| Address | 26/B A.P.GHOSH ROAD CHATRA | Age | 53 Years,10 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||