Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13800 | Date 03/06/2024 |
| Token No | SM/24-25/33555 11/06/2024 | Serial | 030 Last Visit: 22/03/2025 |
| Patient Name | Mr. BIJAY KUMAR SHAW | Contact No | 9333716668 |
| Address | 14 JAGAMOHAN LANE ROAD | Age | 42 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.4 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 21.640625 |
| Diagnosis | |||