Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00138 | Date 06/08/2018 |
| Token No | SM/22-23/25762 31/10/2023 | Serial | 028 Last Visit: 03/06/2024 |
| Patient Name | Mr. SUNIL DAS | Contact No | |
| Address | 29/D CHATRA DOLTALA | Age | 73 Years,5 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||