Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00738 | Date 27/08/2018 |
| Token No | SM/19-20/18159 15/02/2020 | Serial | 058 Last Visit: 27/04/2021 |
| Patient Name | Mr. AJIT KUMAR ADHIKARY | Contact No | 8481803265 |
| Address | 13/B CHATRA CHOWDHURY PARA | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||