Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02959 | Date 11/01/2019 |
| Token No | SM/18-19/6666 11/01/2019 | Serial | 023 Last Visit: 11/01/2019 |
| Patient Name | Mr. ACHINTA ASH | Contact No | |
| Address | 79 ,CHATRA SHITLATALA | Age | 50 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||