Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10821 | Date 21/03/2022 |
| Token No | SM/22-23/25515 18/10/2023 | Serial | 040 Last Visit: 20/09/2025 |
| Patient Name | Mr. NIMAI CHAND LAHIRI | Contact No | 9830679166 |
| Address | 39 BENIAPARA LANE | Age | 77 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 177.5 cm BMI: 20.948225 |
| Diagnosis | |||