Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00809 | Date 29/08/2018 |
| Token No | SM/18-19/1016 29/08/2018 | Serial | 022 Last Visit: 29/08/2018 |
| Patient Name | Mr. RAKESH ROSAN BHUIA | Contact No | 9874964026 |
| Address | 13/A, PANCHANAN TALA LANE | Age | 39.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||