Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09839 | Date 14/07/2021 |
| Token No | SM/21-22/3146 14/07/2021 | Serial | 019 Last Visit: 18/12/2023 |
| Patient Name | Mr. NANDKISHOR MANJHI | Contact No | 8420174225 |
| Address | 12/B U.N NANDI ROAD SHEORAPHULI | Age | 24 Years,2 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||