Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02244 | Date 30/11/2018 |
| Token No | SM/18-19/4932 08/12/2018 | Serial | 059 Last Visit: 25/03/2019 |
| Patient Name | Mr. GORA HAJRA | Contact No | 9830685318 |
| Address | CHATRA CHOWDHURY PARA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||