Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00660 | Date 23/08/2018 |
| Token No | SM/19-20/23492 27/06/2020 | Serial | 020 Last Visit: 25/01/2025 |
| Patient Name | Mr. AMBAR NATH SOM | Contact No | 8961834749 |
| Address | 123 A CHATRA BARUI PARA LANE | Age | 65 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||