Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 16161 | Date 10/10/2025 |
| Token No | SM/25-26/6840 10/10/2025 | Serial | 031 Last Visit: 10/10/2025 |
| Patient Name | Mr. SUSHIL CHANDRA DAS | Contact No | 9674280756 |
| Address | 280 N S ROAD ANJAN GAR BAIDYABATI (M) | Age | 71 Years,9 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 152.6 cm BMI: 18.465428 |
| Diagnosis | |||