Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15095 | Date 06/03/2025 |
| Token No | SM/24-25/43681 06/03/2025 | Serial | 043 Last Visit: 20/08/2025 |
| Patient Name | Mr. DILIP DAS | Contact No | 9681830083 |
| Address | CHATRA MANSHA TALA G T ROAD , BAIDYABATI (M) | Age | 59 Years,7 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 114/73 mmHg | Weight | 51.2 KG |
| Pulse Rate | / min | Height | 168.5 cm BMI: 18.033090 |
| Diagnosis | |||