Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15934 | Date 25/08/2025 |
| Token No | SM/25-26/5249 25/08/2025 | Serial | 064 Last Visit: 25/08/2025 |
| Patient Name | Mr. JEET PARAMANIK | Contact No | 7980701476 |
| Address | 130/334 G T ROAD CHATRA BAIDYABATI (M) | Age | 22 Years,9 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/53 mmHg | Weight | 42.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||