Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15768 | Date 26/07/2025 |
| Token No | SM/25-26/4177 26/07/2025 | Serial | 047 Last Visit: 18/10/2025 |
| Patient Name | Mr. RABIN RUIDAS | Contact No | 8910461251 |
| Address | 243 TELIPARA BAIDYABATI (M), CHATRA | Age | 26 Years,10 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||