Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03006 | Date 15/01/2019 |
| Token No | SM/19-20/1135 18/04/2019 | Serial | 048 Last Visit: 26/03/2021 |
| Patient Name | Mr. TAPAN KUMAR SOM | Contact No | 9903115546 |
| Address | 17B DUTTAS LANE, CHATRA | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||