Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09762 | Date 28/06/2021 |
| Token No | SM/22-23/15846 18/08/2022 | Serial | 034 Last Visit: 20/09/2022 |
| Patient Name | Mr. ASHOK DAS | Contact No | 8820082458 |
| Address | 171/B VIVEKANAND SARANI NAGA BAIDYABATI(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 24.435187 |
| Diagnosis | |||