Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11808 | Date 24/12/2022 |
| Token No | SM/22-23/19213 24/12/2022 | Serial | 021 Last Visit: 13/10/2025 |
| Patient Name | Mr. SHANKAR BAG | Contact No | 8582880322 |
| Address | 49 HARIJAN ROAD CHATRA BAIDYABATI | Age | 54 Years,9 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||