Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08657 | Date 22/08/2020 |
| Token No | SM/19-20/25045 22/08/2020 | Serial | 014 Last Visit: 22/08/2020 |
| Patient Name | Mr. SWAPAN MANNA | Contact No | |
| Address | 2 GOV. COLONI,RAJJODHARPUR | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||