Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08246 | Date 11/05/2020 |
| Token No | SM/19-20/22140 11/05/2020 | Serial | 048 Last Visit: 11/05/2020 |
| Patient Name | Mr. UDAY CHAND PATRA | Contact No | 9330750900 |
| Address | 21 MAHATMA,A. K. DUTTA SARANI | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||