Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06184 | Date 21/08/2019 |
| Token No | SM/19-20/10406 16/09/2019 | Serial | 007 Last Visit: 29/09/2022 |
| Patient Name | Mr. SADAHN AOUN | Contact No | 9007383681 |
| Address | 10/1 GODAR BAGAN , CHATRA , BAIDYABATI(M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||