Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00812 | Date 29/08/2018 |
| Token No | SM/18-19/1019 29/08/2018 | Serial | 025 Last Visit: 13/02/2025 |
| Patient Name | Mr. SANJIB DAS | Contact No | |
| Address | GOSWAMI PARA | Age | 54 Years,1 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 91/52 mmHg | Weight | 35 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||