Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03230 | Date 30/01/2019 |
| Token No | SM/18-19/7810 01/02/2019 | Serial | 086 Last Visit: 09/11/2021 |
| Patient Name | Mr. SOHAN GUIN | Contact No | 9836709326 |
| Address | 7 A CHOWDHURI PARA BY LANE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||