Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13528 | Date 05/04/2024 |
| Token No | SM/24-25/31126 05/04/2024 | Serial | 011 Last Visit: 05/04/2024 |
| Patient Name | Mr. DEBASIS POLLE | Contact No | 7679504684 |
| Address | 14 MUSALMAN PARA ROAD | Age | 36 Years,11 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 149/84 mmHg | Weight | 64.7 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 24.501775 |
| Diagnosis | |||