Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06495 | Date 21/09/2019 |
| Token No | SM/19-20/13765 22/11/2019 | Serial | 014 Last Visit: 13/01/2023 |
| Patient Name | Mr. NARAYAN CHANDRA HATUI | Contact No | 9163719701 |
| Address | 38 SANIPARA LANE,MALLICKPARA | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||