Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14104 | Date 29/07/2024 |
| Token No | SM/25-26/6544 25/09/2025 | Serial | 027 Last Visit: 25/09/2025 |
| Patient Name | Mr. JOYNARAYAN DAS | Contact No | 8902289446 |
| Address | 84 NABIN CHAKRABORTY LANE CHATRA BAIDYABATI (M) | Age | 55 Years,5 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.5 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 23.195852 |
| Diagnosis | |||