Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05293 | Date 30/05/2019 |
| Token No | SM/19-20/3709 30/05/2019 | Serial | 002 Last Visit: 22/08/2024 |
| Patient Name | Mr. ATANU PALCHINA | Contact No | 9088388538 |
| Address | 12G/2 ARABINDA SARANI,CHATRA | Age | 44 Years,11 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||