Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11872 | Date 21/01/2023 |
| Token No | SM/22-23/19927 21/01/2023 | Serial | 012 Last Visit: 21/01/2023 |
| Patient Name | Mr. SUMANTA SOM | Contact No | 7044748360 |
| Address | CHATRA TETULTALA,BAIDYATI(M) | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 14.061062 |
| Diagnosis | |||