Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06383 | Date 12/09/2019 |
| Token No | SM/19-20/10201 12/09/2019 | Serial | 019 Last Visit: 12/09/2019 |
| Patient Name | Mr. RANADHIR CHATTERJEE | Contact No | 8334005048 |
| Address | 9,RAMKRISHNA ROAD, CHATRA | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||