Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08395 | Date 20/06/2020 |
| Token No | SM/24-25/31380 13/04/2024 | Serial | 042 Last Visit: 13/04/2024 |
| Patient Name | Mr. SOUMEN THAKUR | Contact No | |
| Address | 22 GT ROAD RISHRA | Age | 40 Years,3 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||