Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00492 | Date 16/08/2018 |
| Token No | SM/22-23/12774 23/05/2022 | Serial | 022 Last Visit: 15/05/2023 |
| Patient Name | Mr. TARAKNATH AHIR | Contact No | 9163163018 |
| Address | 7DR P.N MUKHERJEE STREET | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||