Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03903 | Date 27/02/2019 |
| Token No | SM/21-22/1844 01/06/2021 | Serial | 021 Last Visit: 02/08/2025 |
| Patient Name | Mr. SK ARJUN | Contact No | 8420071106 |
| Address | 36/A CHATRA MUSALMAN PARA | Age | 32 Years,7 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||