Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10387 | Date 06/12/2021 |
| Token No | SM/21-22/7484 06/12/2021 | Serial | 003 Last Visit: 06/12/2021 |
| Patient Name | Mr. DEBU ADHIKARI | Contact No | |
| Address | NASIBPUR,METHU PARA | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||