Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04634 | Date 09/04/2019 |
| Token No | SM/19-20/550 09/04/2019 | Serial | 004 Last Visit: 13/02/2023 |
| Patient Name | Mrs. ANIMA GURUNG | Contact No | 9903254101 |
| Address | RAMKRISHNA NAGAR NICHU MATH, SHEORAPHULY, BAIDYABATI M | Age | 50 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||