Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06970 | Date 23/11/2019 |
| Token No | SM/22-23/24308 11/09/2023 | Serial | 031 Last Visit: 10/09/2025 |
| Patient Name | Mr. BUDDHESWAR PAUL | Contact No | 9231789693 |
| Address | 217 (81/J) TELI PARA BAGER BAGAN , BAIDYABATI(M) | Age | 48 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/78 mmHg | Weight | 61.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||