Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12336 | Date 12/08/2023 |
| Token No | SM/22-23/23571 12/08/2023 | Serial | 027 Last Visit: 12/08/2023 |
| Patient Name | Mr. ASISH RAJBANSHI | Contact No | 6290477353 |
| Address | BANSBERIYA | Age | 23 Years,4 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||