Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07865 | Date 20/03/2020 |
| Token No | SM/22-23/16633 12/09/2022 | Serial | 030 Last Visit: 15/11/2025 |
| Patient Name | Mr. SUBHASHISH MUKHERJEE | Contact No | 9836951896 |
| Address | 13 SIDDHEWARI LANE,CHATRA | Age | 56 Years,6 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||