Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00636 | Date 23/08/2018 |
| Token No | SM/18-19/1451 10/09/2018 | Serial | 039 Last Visit: 09/06/2023 |
| Patient Name | Mr. ARUP DAS | Contact No | 9830718430 |
| Address | 46, DHARMOTALA LANE , CHATRA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/75 mmHg | Weight | 71.5 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||