Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00632 | Date 23/08/2018 |
| Token No | SM/18-19/757 23/08/2018 | Serial | 006 Last Visit: 23/08/2018 |
| Patient Name | Mr. PANCHU PARMANIK | Contact No | |
| Address | 9B , CHATRA CHOWDHURY PARA LANE | Age | 64.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||