Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04228 | Date 15/03/2019 |
| Token No | SM/19-20/3649 29/05/2019 | Serial | 016 Last Visit: 17/01/2023 |
| Patient Name | Mr. SRISTIDHAR MAL | Contact No | 9433615938 |
| Address | GOBINDAPUR DIARA | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||