Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11775 | Date 15/12/2022 |
| Token No | SM/22-23/18912 15/12/2022 | Serial | 028 Last Visit: 15/12/2022 |
| Patient Name | Mr. ASHIM MIDDEY | Contact No | 7605875540 |
| Address | 31/A BAGER BAGAN TELI PARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 25.461981 |
| Diagnosis | |||