Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07722 | Date 06/03/2020 |
| Token No | SM/19-20/19218 06/03/2020 | Serial | 043 Last Visit: 18/09/2020 |
| Patient Name | Mr. CHANDAN PATRA | Contact No | 9804811194 |
| Address | PAHALAMPUR , SINGUR | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||