Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11498 | Date 29/08/2022 |
| Token No | SM/22-23/16121 29/08/2022 | Serial | 036 Last Visit: 20/09/2022 |
| Patient Name | Mr. DIPAK KUMAR DAS | Contact No | 8582880242 |
| Address | 4 A SIDDHESWARI LANER | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 23.011177 |
| Diagnosis | |||