Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01298 | Date 24/09/2018 |
| Token No | SM/18-19/1982 24/09/2018 | Serial | 041 Last Visit: 07/01/2019 |
| Patient Name | Mr. KRISHNENDU THAKUR | Contact No | 9874137278 |
| Address | 19, P.N MUKHERJEE STREET CHATRA | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||