Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09078 | Date 21/12/2020 |
| Token No | SM/25-26/14479 29/08/2026 at 10:31 | Serial | 018 Last Visit: 23/05/2026 |
| Patient Name | Mr. SHYAMACHARAN PANDIT | Contact No | 8479011877 |
| Address | 42 KUMOR PARA LANE SERAMPOPRE | Age | 59 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 111/67 mmHg | Weight | 50.8 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 21.144641 |
| Diagnosis | |||