Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12766 | Date 28/11/2023 |
| Token No | SM/22-23/26515 28/11/2023 | Serial | 003 Last Visit: 29/11/2023 |
| Patient Name | Mr. BIRBAL SK | Contact No | 9874057826 |
| Address | 31 BHADURI PARA LANE | Age | 36 Years,10 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.1 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 20.586785 |
| Diagnosis | |||