Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15135 | Date 17/03/2025 |
| Token No | SM/24-25/43955 17/03/2025 | Serial | 041 Last Visit: 17/03/2025 |
| Patient Name | Mr. BALARAM FUSTI | Contact No | |
| Address | 22/3 TELIPARA CHATRA BAIDYABATI (M) | Age | 50 Years,4 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 107/63 mmHg | Weight | 55.7 KG |
| Pulse Rate | / min | Height | 169 cm BMI: 19.502118 |
| Diagnosis | |||