Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01846 | Date 02/11/2018 |
| Token No | SM/18-19/3319 02/11/2018 | Serial | 003 Last Visit: 02/11/2018 |
| Patient Name | Mr. PRASHAD KRISHNA MONDAL | Contact No | |
| Address | 4 CHOWDHURI PARA,CHATRA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm BMI: nan |
| Diagnosis | |||