Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02766 | Date 31/12/2018 |
| Token No | SM/18-19/7209 21/01/2019 | Serial | 077 Last Visit: 18/07/2022 |
| Patient Name | Mr. JOYDEB PAKIRA | Contact No | |
| Address | MILKI BADAM TALA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||