Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11987 | Date 18/03/2023 |
| Token No | SM/22-23/21863 27/05/2023 | Serial | 001 Last Visit: 18/03/2024 |
| Patient Name | Mr. BIYOY SINGHA | Contact No | 9874765512 |
| Address | 4/D BARA BAGAN LANE | Age | 69 Years,2 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 165 cm BMI: 13.223140 |
| Diagnosis | |||