Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02499 | Date 13/12/2018 |
| Token No | SM/25-26/15910 28/10/2026 at 10:59 | Serial | 026 Last Visit: 23/09/2026 |
| Patient Name | Mr. GOPAL CHANDRA DEY | Contact No | 8420352646 |
| Address | 35 A CHATRA BARUI PARA LANE | Age | 74 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/67 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 158.3 cm BMI: 18.755819 |
| Diagnosis | |||