Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00660 | Date 23/08/2018 |
| Token No | SM/18-19/801 23/08/2018 | Serial | 050 Last Visit: 25/01/2025 |
| Patient Name | Mr. AMBAR NATH SOM | Contact No | 8961834749 |
| Address | 123 A CHATRA BARUI PARA LANE | Age | 65 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 122/57 mmHg | Weight | 49 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||