Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01468 | Date 01/10/2018 |
| Token No | SM/22-23/23916 28/08/2023 | Serial | 011 Last Visit: 28/08/2023 |
| Patient Name | Mr. SOUMIL SOM | Contact No | 9804570782 |
| Address | 13/B DUTTA\\\\\\\'S LANE CHATRA | Age | 27 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||