Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09469 | Date 16/04/2021 |
| Token No | SM/22-23/11936 22/04/2022 | Serial | 027 Last Visit: 21/07/2022 |
| Patient Name | Mr. NABAKUMAR DAS | Contact No | 9088340686 |
| Address | 501 G T ROAD BAIDYABATI CHATRA (M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 159.3 cm BMI: 22.067670 |
| Diagnosis | |||