Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02494 | Date 12/12/2018 |
| Token No | SM/19-20/23720 03/07/2020 | Serial | 043 Last Visit: 27/08/2025 |
| Patient Name | Mr. CHANCHAL ASH | Contact No | 9830565434 |
| Address | 14 A DUTTES LANE,CHATRA | Age | 60 Years,7 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||