Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10705 | Date 22/02/2022 |
| Token No | SM/21-22/10111 22/02/2022 | Serial | 011 Last Visit: 25/05/2022 |
| Patient Name | Mr. SANJAY NAYEK | Contact No | |
| Address | 17/A TULSICHARAN GOSWAMI STREET | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | 159.3 cm BMI: 28.372718 |
| Diagnosis | |||