Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00630 | Date 23/08/2018 |
| Token No | SM/19-20/6307 11/07/2019 | Serial | 057 Last Visit: 08/12/2020 |
| Patient Name | Mr. BIMAL RANA | Contact No | 9091714227 |
| Address | 6/1 SHITLATALA , BAIDYABATI (M) | Age | 65.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||