Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04354 | Date 23/03/2019 |
| Token No | SM/19-20/17675 05/02/2020 | Serial | 051 Last Visit: 05/02/2020 |
| Patient Name | Mr. BABLU RAJBHAR | Contact No | 9681074266 |
| Address | TALPUKUR RAMKRISHNA PALLI, RAJDHARPUR | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||