Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00950 | Date 06/09/2018 |
| Token No | SM/18-19/1295 06/09/2018 | Serial | 020 Last Visit: 12/10/2023 |
| Patient Name | Mr. TARAK DAS | Contact No | 9674576689 |
| Address | 16 RAJA K.L GOSWAMI STREET | Age | 37 Years,0 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/76 mmHg | Weight | 55 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||