Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00477 | Date 16/08/2018 |
| Token No | SM/18-19/537 16/08/2018 | Serial | 025 Last Visit: 16/08/2018 |
| Patient Name | Mr. ALOK RANJAN DAS ADHIKARY | Contact No | 9007888862 |
| Address | LANKAR BAGAN , CHATRA | Age | 22.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 102/49 mmHg | Weight | 50 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||