Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14513 | Date 09/11/2024 |
| Token No | SM/24-25/42705 10/02/2025 | Serial | 005 Last Visit: 13/08/2025 |
| Patient Name | Mr. BISHWANATH DAS | Contact No | 9239745903 |
| Address | 16 KALI TALA LANE CHATRA , BAIDYABATI (M) | Age | 60 Years,7 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.1 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 17.264861 |
| Diagnosis | |||