Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04029 | Date 06/03/2019 |
| Token No | SM/18-19/9952 06/03/2019 | Serial | 042 Last Visit: 07/03/2019 |
| Patient Name | Mr. NITAI CHAKRABORTY | Contact No | 8697502150 |
| Address | 38 A P GHOSH ROAD,CHATRA | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||