Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00507 | Date 17/08/2018 |
| Token No | SM/18-19/3698 14/11/2018 | Serial | 087 Last Visit: 12/09/2025 |
| Patient Name | Mr. ISHAN ASH | Contact No | 9051743338 |
| Address | 14A DUTTOS LANE , CHATRA | Age | 19 Years,8 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||