Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03483 | Date 09/02/2019 |
| Token No | SM/18-19/11326 27/03/2019 | Serial | 030 Last Visit: 12/08/2023 |
| Patient Name | Mr. LALTU SANTRA | Contact No | 9062333767 |
| Address | MODHPUR SATGHARA | Age | 35 Years,7 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||