Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06591 | Date 01/10/2019 |
| Token No | SM/19-20/11439 01/10/2019 | Serial | 057 Last Visit: 26/07/2022 |
| Patient Name | Mr. SANKAR LAL KANJILAL | Contact No | 9874246515 |
| Address | 21 DHARMATALA LANE,CHATRA | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||