Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04135 | Date 09/03/2019 |
| Token No | SM/19-20/5884 05/07/2019 | Serial | 047 Last Visit: 09/06/2025 |
| Patient Name | Mr. SANTRAM AGRAHARI | Contact No | 9748641515 |
| Address | 15 KAPURIYA PATTI LANE TINBAJAR | Age | 56 Years,0 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||