Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07835 | Date 18/03/2020 |
| Token No | SM/19-20/19840 18/03/2020 | Serial | 014 Last Visit: 18/03/2020 |
| Patient Name | Mr. UKIL SINGJHA | Contact No | 8373800343 |
| Address | DARJELING, DUBA KHARIBARI | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||