Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10477 | Date 30/12/2021 |
| Token No | SM/21-22/8476 04/01/2022 | Serial | 041 Last Visit: 14/09/2024 |
| Patient Name | Mr. PRABHUNATH RAUT | Contact No | 6290127593 |
| Address | 67/B BARABAGAN LANE | Age | 55 Years,7 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||