Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01165 | Date 15/09/2018 |
| Token No | SM/21-22/8492 05/01/2022 | Serial | 004 Last Visit: 27/11/2025 |
| Patient Name | Mr. KAMAL DAS | Contact No | 9874766375 |
| Address | CHATRA SIDHESWARY TALA | Age | 65 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||