Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16179 | Date 15/10/2025 |
| Token No | SM/25-26/7060 15/10/2025 | Serial | 058 Last Visit: 15/10/2025 |
| Patient Name | Mr. SK ROMJAN | Contact No | 7980467856 |
| Address | 5/A MUSALMAN PARA BYE LANE CHATRA | Age | 32 Years,1 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.7 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 17.792992 |
| Diagnosis | |||