Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07536 | Date 14/02/2020 |
| Token No | SM/19-20/18453 20/02/2020 | Serial | 045 Last Visit: 20/02/2020 |
| Patient Name | Mr. NARAYAN CHANDRA DAS | Contact No | 9836884442 |
| Address | 30 NEHURU NAGAR KALONI, | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||