Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03904 | Date 28/02/2019 |
| Token No | SM/18-19/9580 28/02/2019 | Serial | 002 Last Visit: 28/02/2019 |
| Patient Name | Mr. SOMNATH PAL | Contact No | 9231666090 |
| Address | 91 A P GHOSH ROAD,CHATRA | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||