Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00990 | Date 07/09/2018 |
| Token No | SM/19-20/19172 05/03/2020 | Serial | 053 Last Visit: 05/03/2020 |
| Patient Name | Mr. NIMAI DHARA | Contact No | |
| Address | SHEAKHALA | Age | 56.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||