Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06531 | Date 24/09/2019 |
| Token No | SM/19-20/19716 16/03/2020 | Serial | 040 Last Visit: 16/03/2020 |
| Patient Name | Mr. SK ASLAM ALI | Contact No | 9123052687 |
| Address | 127/B A. P. GHOSH ROAD,CHATRA | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||