Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00176 | Date 06/08/2018 |
| Token No | SM/22-23/23146 25/07/2023 | Serial | 011 Last Visit: 21/07/2025 |
| Patient Name | Mr. KRISHNENDU ROY | Contact No | 7890914797 |
| Address | 7, LAHIRI PARA , CHATRA | Age | 35 Years,6 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||