Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01468 | Date 01/10/2018 |
| Token No | SM/18-19/2345 01/10/2018 | Serial | 065 Last Visit: 28/08/2023 |
| Patient Name | Mr. SOUMIL SOM | Contact No | 9804570782 |
| Address | 13/B DUTTA\\\\\\\'S LANE CHATRA | Age | 27 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 95 KG |
| Pulse Rate | 122 / min | Height | cm BMI: inf |
| Diagnosis | |||