Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01866 | Date 02/11/2018 |
| Token No | SM/25-26/8545 03/12/2025 | Serial | 051 Last Visit: 03/12/2025 |
| Patient Name | Mr. JAYANTA SANAL | Contact No | 9477118825 |
| Address | 6B CHATRA LAHIRA PARA | Age | 58 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||