Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00198 | Date 07/08/2018 |
| Token No | SM/18-19/6292 05/01/2019 | Serial | 007 Last Visit: 17/04/2020 |
| Patient Name | Mr. SAILENDRA PAL | Contact No | 9163179023 |
| Address | 48, A.P. GHOSH ROAD, CHATRA | Age | 78 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||