Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03484 | Date 09/02/2019 |
| Token No | SM/18-19/9347 23/02/2019 | Serial | 033 Last Visit: 09/03/2019 |
| Patient Name | Mr. DINESH DAS | Contact No | 7003454658 |
| Address | CHATRA DAS PARA | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||