Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10700 | Date 21/02/2022 |
| Token No | SM/22-23/15405 04/08/2022 | Serial | 066 Last Visit: 04/08/2022 |
| Patient Name | Mr. SOMBHU NATH SWAIM | Contact No | |
| Address | BADHYBATY BIRAJKUTIR G T ROAD | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 164.4 cm BMI: 27.749658 |
| Diagnosis | |||