Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01436 | Date 01/10/2018 |
| Token No | SM/22-23/20898 28/03/2023 | Serial | 015 Last Visit: 28/03/2023 |
| Patient Name | Mr. SARAL KUMAR SOM | Contact No | 8420934560 |
| Address | 124/D, CHATRA BARUI PARA LANE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||