Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02499 | Date 13/12/2018 |
| Token No | SM/25-26/9794 02/03/2026 at 11:03 | Serial | 029 Last Visit: 04/02/2026 |
| Patient Name | Mr. GOPAL CHANDRA DEY | Contact No | 8420352646 |
| Address | 35 A CHATRA BARUI PARA LANE | Age | 74 Years,2 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 158.3 cm BMI: 18.755819 |
| Diagnosis | |||