Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04228 | Date 15/03/2019 |
| Token No | SM/21-22/6675 09/11/2021 | Serial | 001 Last Visit: 17/01/2023 |
| Patient Name | Mr. SRISTIDHAR MAL | Contact No | 9433615938 |
| Address | GOBINDAPUR DIARA | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||