Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06827 | Date 09/11/2019 |
| Token No | SM/19-20/12957 09/11/2019 | Serial | 035 Last Visit: 15/07/2020 |
| Patient Name | Mr. RANJIT MUNDA | Contact No | 9735186456 |
| Address | CHATRA SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||