Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06343 | Date 06/09/2019 |
| Token No | SM/19-20/18141 15/02/2020 | Serial | 040 Last Visit: 26/07/2025 |
| Patient Name | Mr. RAJU DOLUI | Contact No | 9836371149 |
| Address | 30/A KANAI DEWAN TALA LANE , BAIDYABATI(M) | Age | 32 Years,7 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||