Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08021 | Date 06/04/2020 |
| Token No | SM/25-26/882 29/04/2025 | Serial | 014 Last Visit: 14/10/2025 |
| Patient Name | Mr. MONOJ KUMAR DAS | Contact No | 9433818593 |
| Address | 42 BARABAGAN LANE | Age | 42 Years,6 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||