Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16281 | Date 17/11/2025 |
| Token No | SM/25-26/8091 17/11/2025 | Serial | 051 Last Visit: 17/11/2025 |
| Patient Name | Mr. SUMIT DAS | Contact No | 9874931685 |
| Address | CHATRA, | Age | 15 Years,8 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||