Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12529 | Date 28/09/2023 |
| Token No | SM/25-26/4869 13/08/2025 | Serial | 060 Last Visit: 13/08/2025 |
| Patient Name | Mr. RAMESH ROUTH | Contact No | 9903860072 |
| Address | 10A/2/A G T ROAD PAMPA NAGAR, BAIDYABATI (9M) | Age | 75 Years,7 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.4 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 19.477318 |
| Diagnosis | |||