Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10328 | Date 24/11/2021 |
| Token No | SM/22-23/25411 16/10/2023 | Serial | 058 Last Visit: 27/11/2025 |
| Patient Name | Mr. CHANCHAL KUMAR DUTTA | Contact No | 8420516714 |
| Address | 38/2CHATRA GT ROAD | Age | 60 Years,5 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71.6 KG |
| Pulse Rate | / min | Height | 160.2 cm BMI: 27.898959 |
| Diagnosis | |||