Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00312 | Date 10/08/2018 |
| Token No | SM/18-19/338 10/08/2018 | Serial | 026 Last Visit: 29/03/2025 |
| Patient Name | Mr. SUMAN BURMAN | Contact No | 8100732534 |
| Address | 18/E CHATRA CHOWDHURY PARA DOLTALA | Age | 23 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 123/76 mmHg | Weight | 60 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||