Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11622 | Date 29/09/2022 |
| Token No | SM/22-23/17715 07/11/2022 | Serial | 017 Last Visit: 26/04/2024 |
| Patient Name | Mr. SAHADEB RAM | Contact No | 7003856876 |
| Address | 10 M.G. ROAD | Age | 41 Years,3 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||