Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01063 | Date 12/09/2018 |
| Token No | SM/19-20/14976 09/12/2019 | Serial | 086 Last Visit: 27/10/2023 |
| Patient Name | Mr. NEMAI PAL | Contact No | 8420312039 |
| Address | 19 CHATRA BAZER ROAD | Age | 70 Years,9 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||