Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06245 | Date 28/08/2019 |
| Token No | SM/25-26/15897 28/10/2026 at 10:30 | Serial | 013 Last Visit: 21/09/2026 |
| Patient Name | Mr. FOKO MIDDEY | Contact No | 9073525180 |
| Address | 131/A TELIPARA BAGER BAGAN , BAIDYABATI (M) | Age | 61 Years,9 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 72.2 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 28.739464 |
| Diagnosis | |||