Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02664 | Date 24/12/2018 |
| Token No | SM/18-19/5682 24/12/2018 | Serial | 005 Last Visit: 24/12/2018 |
| Patient Name | Mr. SWAPAN MANNA | Contact No | 9836836825 |
| Address | 71 G T ROAD CHATRA | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||