Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03855 | Date 25/02/2019 |
| Token No | SM/24-25/32256 07/05/2024 | Serial | 036 Last Visit: 07/05/2024 |
| Patient Name | Mr. UTTAM ADHIKARI | Contact No | |
| Address | SEORAPHULY,NONADNGA ROAD,BAIDYABATI(M) | Age | 41 Years,4 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||