Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 13128 | Date 17/01/2024 |
| Token No | SM/24-25/32762 22/05/2024 | Serial | 042 Last Visit: 22/05/2024 |
| Patient Name | Mr. PREMENDRA NATH ROY | Contact No | |
| Address | 27 BK LANE | Age | 57 Years,7 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74.4 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 27.162950 |
| Diagnosis | |||