Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15994 | Date 04/09/2025 |
| Token No | SM/25-26/5710 04/09/2025 | Serial | 060 Last Visit: 04/09/2025 |
| Patient Name | Mr. KAMLESH MAHATO | Contact No | 6291727724 |
| Address | SIDHESWARI TALA CHATRA | Age | 28 Years,8 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||