Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01566 | Date 09/10/2018 |
| Token No | SM/18-19/2616 09/10/2018 | Serial | 005 Last Visit: 09/10/2018 |
| Patient Name | Mr. KAMLESH MAHATA | Contact No | 8420660637 |
| Address | SIDESWARI TALA CHATRA | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||