Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01644 | Date 12/10/2018 |
| Token No | SM/18-19/2811 12/10/2018 | Serial | 018 Last Visit: 14/12/2019 |
| Patient Name | Mr. SANJAY DAS | Contact No | 7003480347 |
| Address | CHATRA DAS PARA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 136/85 mmHg | Weight | 66 KG |
| Pulse Rate | 66 / min | Height | cm BMI: inf |
| Diagnosis | |||