Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00057 | Date 02/08/2018 |
| Token No | SM/25-26/1740 24/05/2025 | Serial | 046 Last Visit: 24/05/2025 |
| Patient Name | Mr. DEBASIS PANJA | Contact No | |
| Address | 5, P.N MUKHERJEE ST. | Age | 48 Years,4 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 109/67 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm BMI: nan |
| Diagnosis | |||