Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11887 | Date 25/01/2023 |
| Token No | SM/22-23/20038 25/01/2023 | Serial | 019 Last Visit: 25/01/2023 |
| Patient Name | Mr. PRAKASH CH. DAS | Contact No | 8697106589 |
| Address | 19 RAJA K L GOSWAMI STREET | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 19.051974 |
| Diagnosis | |||