Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07918 | Date 24/03/2020 |
| Token No | SM/19-20/20231 24/03/2020 | Serial | 052 Last Visit: 28/07/2021 |
| Patient Name | Mr. SANJIB KUMAR SINGH | Contact No | 9007621837 |
| Address | CHATU GHANGE,SHORAPHULI | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||