Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03488 | Date 12/02/2019 |
| Token No | SM/18-19/11106 25/03/2019 | Serial | 026 Last Visit: 25/03/2019 |
| Patient Name | Mr. RADHAKANTA DAS | Contact No | 8013213474 |
| Address | 66 CHATRA,DHARMATALA | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||