Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11247 | Date 08/07/2022 |
| Token No | SM/22-23/14455 08/07/2022 | Serial | 032 Last Visit: 08/07/2022 |
| Patient Name | Mr. AMAL MISTIRI | Contact No | 9073433552 |
| Address | 24 CHATRA CHOWDHURY PARA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 159.6 cm BMI: 23.162543 |
| Diagnosis | |||