Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08832 | Date 08/10/2020 |
| Token No | SM/21-22/8168 27/12/2021 | Serial | 060 Last Visit: 10/01/2022 |
| Patient Name | Mr. BIJEPI RAJBANSHI | Contact No | 8972575639 |
| Address | NONDOLAL HIGH SCHOOL, | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||