Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09629 | Date 21/05/2021 |
| Token No | SM/22-23/30073 09/03/2024 | Serial | 008 Last Visit: 09/03/2024 |
| Patient Name | Mrs. BIMAL DAS | Contact No | |
| Address | 97/C CHATRA BAGER BAGAN , (PAMPA NAGAR) | Age | 70 Years,2 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.8 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 14.741227 |
| Diagnosis | |||