Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00215 | Date 07/08/2018 |
| Token No | SM/22-23/30800 28/03/2024 | Serial | 065 Last Visit: 29/06/2024 |
| Patient Name | Mr. SK. CHAND | Contact No | |
| Address | 22 MUSALMAN PARA | Age | 27 Years,5 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||