Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00268 | Date 09/08/2018 |
| Token No | SM/18-19/675 20/08/2018 | Serial | 019 Last Visit: 22/08/2020 |
| Patient Name | Mr. SAILEN BANERJEE | Contact No | 9836321814 |
| Address | 11, CHOWDHURY PARA, CHATRA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||