Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02400 | Date 07/12/2018 |
| Token No | SM/21-22/629 20/04/2021 | Serial | 038 Last Visit: 23/06/2025 |
| Patient Name | Mr. MOHAN LAL PAKIRA | Contact No | 7596915165 |
| Address | CHATRA DHARMOTALA | Age | 80 Years,5 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||