Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12459 | Date 12/09/2023 |
| Token No | SM/22-23/24334 12/09/2023 | Serial | 017 Last Visit: 12/09/2023 |
| Patient Name | Mr. SIMANTA BAURI | Contact No | |
| Address | BAKURA | Age | 29 Years,8 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||