Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11246 | Date 08/07/2022 |
| Token No | SM/22-23/14449 08/07/2022 | Serial | 026 Last Visit: 08/07/2022 |
| Patient Name | Mr. SOMJYOTI DAS | Contact No | 8129649797 |
| Address | 78/80/A/1 TELI PARA,BAIDYABATI(M) | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | 159.6 cm BMI: 19.040395 |
| Diagnosis | |||