Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05356 | Date 08/06/2019 |
| Token No | SM/21-22/943 28/04/2021 | Serial | 011 Last Visit: 28/04/2021 |
| Patient Name | Mr. SUBENDU BHUIYA | Contact No | |
| Address | CHATRA SIDDESWARI | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||