Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07901 | Date 24/03/2020 |
| Token No | SM/19-20/20194 24/03/2020 | Serial | 015 Last Visit: 19/09/2022 |
| Patient Name | Mr. JAYDEB PAL | Contact No | 9836885409 |
| Address | 3 ARABINDA SARANI ,CHATRA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||