Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03300 | Date 01/02/2019 |
| Token No | SM/18-19/7809 01/02/2019 | Serial | 085 Last Visit: 09/06/2021 |
| Patient Name | Mr. NIMAI CHAND LEHIRY | Contact No | 9830679166 |
| Address | 39 BENIA PARA LANE | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||