Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01083 | Date 12/09/2018 |
| Token No | SM/19-20/285 04/04/2019 | Serial | 074 Last Visit: 11/07/2019 |
| Patient Name | Mr. KASHINATH SARKAR | Contact No | 8697130534 |
| Address | 78 DN MUKHERJEE ROAD CHATRA | Age | 57.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||