Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09835 | Date 13/07/2021 |
| Token No | SM/21-22/3746 04/08/2021 | Serial | 013 Last Visit: 19/08/2023 |
| Patient Name | Mr. ASHOK CHANDRA | Contact No | 8583030088 |
| Address | DAKSHIN RAJYADHARPUR | Age | 28 Years,7 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||