Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00717 | Date 27/08/2018 |
| Token No | SM/21-22/6169 23/10/2021 | Serial | 036 Last Visit: 23/10/2021 |
| Patient Name | Mr. BIJOY SINGH | Contact No | 8420966012 |
| Address | SAORAPHULY,CHATU GHANGE | Age | 24.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||