Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08030 | Date 06/04/2020 |
| Token No | SM/21-22/6105 22/10/2021 | Serial | 036 Last Visit: 13/04/2023 |
| Patient Name | Mr. JOYDEB ADHIKARI | Contact No | 9874226944 |
| Address | 79/K, N.N. ROY STREET | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||