Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09321 | Date 15/03/2021 |
| Token No | SM/25-26/9768 02/03/2026 at 10:25 | Serial | 003 Last Visit: 04/02/2026 |
| Patient Name | Mr. MOHAN DAS | Contact No | 9230213656 |
| Address | 76 SATCHASI PARA, CHATRA, BAIDYABATI(M) | Age | 76 Years,2 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/57 mmHg | Weight | 56.2 KG |
| Pulse Rate | / min | Height | 149.7 cm BMI: 25.077989 |
| Diagnosis | |||