Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08508 | Date 08/07/2020 |
| Token No | SM/25-26/4693 08/08/2025 | Serial | 040 Last Visit: 21/11/2025 |
| Patient Name | Mr. ASHOK DAS | Contact No | 9748732205 |
| Address | 502 G T ROAD CHATRA DEWAN BAGAN , BAIDYABATI(M) | Age | 67 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 126/78 mmHg | Weight | 51.2 KG |
| Pulse Rate | / min | Height | 164.5 cm BMI: 18.920742 |
| Diagnosis | |||