Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06065 | Date 06/08/2019 |
| Token No | SM/19-20/8021 06/08/2019 | Serial | 042 Last Visit: 06/11/2025 |
| Patient Name | Mr. PANCHU ADHIKARI | Contact No | 9681357740 |
| Address | 21 KUMIRJALA ROAD,MALLICK PARA | Age | 52 Years,10 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||