Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10600 | Date 24/01/2022 |
| Token No | SM/24-25/38064 07/10/2024 | Serial | 009 Last Visit: 29/08/2025 |
| Patient Name | Mr. SHAMBHU RUIDAS | Contact No | 9088921976 |
| Address | 289/1/A TELIPARA LANE BAIDHYABATI, 712204 | Age | 49 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 169 cm BMI: 22.758307 |
| Diagnosis | |||