Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00812 | Date 29/08/2018 |
| Token No | SM/24-25/42863 13/02/2025 | Serial | 009 Last Visit: 13/02/2025 |
| Patient Name | Mr. SANJIB DAS | Contact No | |
| Address | GOSWAMI PARA | Age | 54 Years,1 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||