Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14682 | Date 17/12/2024 |
| Token No | SM/24-25/40705 17/12/2024 | Serial | 007 Last Visit: 23/07/2025 |
| Patient Name | Mr. SITAL CH DAS | Contact No | 8017538841 |
| Address | 10/L G T ROAD BAIDYABATI (M) | Age | 80 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.4 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 23.495906 |
| Diagnosis | |||