Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10258 | Date 30/10/2021 |
| Token No | SM/22-23/19016 19/12/2022 | Serial | 030 Last Visit: 19/12/2022 |
| Patient Name | Mr. ANIL KUMAR DAS | Contact No | 9007611827 |
| Address | RAJYADHARPUR GOV.T COLONY | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 16.891892 |
| Diagnosis | |||