Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03456 | Date 08/02/2019 |
| Token No | SM/18-19/8299 08/02/2019 | Serial | 025 Last Visit: 08/02/2019 |
| Patient Name | Mr. P K BENERJEE | Contact No | 9836572595 |
| Address | 19 A P GHOSH ROAD ,CHATRA | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||