Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12136 | Date 06/06/2023 |
| Token No | SM/22-23/30749 28/03/2024 | Serial | 014 Last Visit: 18/08/2025 |
| Patient Name | Mr. AJIT KHAMARU | Contact No | 9051310790 |
| Address | 73/A TELIPARA LANE LANE CHATRA BAIDYABTI (M) | Age | 55 Years,7 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 24.304618 |
| Diagnosis | |||