Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00660 | Date 23/08/2018 |
| Token No | SM/19-20/8724 20/08/2019 | Serial | 003 Last Visit: 25/01/2025 |
| Patient Name | Mr. AMBAR NATH SOM | Contact No | 8961834749 |
| Address | 123 A CHATRA BARUI PARA LANE | Age | 65 Years,0 Months,24 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||