Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07931 | Date 26/03/2020 |
| Token No | SM/19-20/20305 26/03/2020 | Serial | 017 Last Visit: 07/04/2020 |
| Patient Name | Mr. PRABIR LAHA | Contact No | 26524046 |
| Address | 34 BARUI PARA LANE,CHATRA, | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||