Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00890 | Date 04/09/2018 |
| Token No | SM/18-19/1176 04/09/2018 | Serial | 012 Last Visit: 03/05/2021 |
| Patient Name | Mr. SK SAUKUT | Contact No | |
| Address | 17/A, CHATRA M.P/ LANE | Age | 65 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | 113/72 mmHg | Weight | 60 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||