Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06862 | Date 14/11/2019 |
| Token No | SM/19-20/13246 14/11/2019 | Serial | 073 Last Visit: 25/11/2019 |
| Patient Name | Mr. NEPAL CHANDRA RANA | Contact No | 7890210986 |
| Address | 30 G.T ROAD , BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||