Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00476 | Date 16/08/2018 |
| Token No | SM/18-19/536 16/08/2018 | Serial | 024 Last Visit: 16/08/2018 |
| Patient Name | Mr. SOURAV DAS ADHIKARY | Contact No | 9836523618 |
| Address | LANKAR BAGAN, CHATRA | Age | 19.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 84/51 mmHg | Weight | 43 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||