Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13858 | Date 12/06/2024 |
| Token No | SM/24-25/42808 12/02/2025 | Serial | 031 Last Visit: 24/02/2025 |
| Patient Name | Mr. BIREN KURI | Contact No | 8617774138 |
| Address | 31 NALIR BAGAN | Age | 76 Years,4 Months,22 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52.3 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 19.805917 |
| Diagnosis | |||