Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02469 | Date 11/12/2018 |
| Token No | SM/18-19/5094 12/12/2018 | Serial | 008 Last Visit: 24/09/2021 |
| Patient Name | Mr. ASTU PATRA | Contact No | 9143002415 |
| Address | CHATRA A P GHOSH ROAD | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||