Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00516 | Date 17/08/2018 |
| Token No | SM/19-20/19880 18/03/2020 | Serial | 054 Last Visit: 17/05/2023 |
| Patient Name | Mr. RABIN DAS | Contact No | 9674576689 |
| Address | 16, RAJA K.L.GOSWAMI STREET | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||