Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06343 | Date 06/09/2019 |
| Token No | SM/25-26/2727 19/06/2025 | Serial | 016 Last Visit: 26/07/2025 |
| Patient Name | Mr. RAJU DOLUI | Contact No | 9836371149 |
| Address | 30/A KANAI DEWAN TALA LANE , BAIDYABATI(M) | Age | 32 Years,7 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 20.761440 |
| Diagnosis | |||