Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02514 | Date 13/12/2018 |
| Token No | SM/22-23/17409 15/10/2022 | Serial | 005 Last Visit: 04/06/2025 |
| Patient Name | Mr. CHANDAN DAS | Contact No | 9163693972 |
| Address | CHATRA LONKAR BAGAN | Age | 54 Years,5 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 23.634033 |
| Diagnosis | |||