Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00198 | Date 07/08/2018 |
| Token No | SM/19-20/4588 14/06/2019 | Serial | 063 Last Visit: 17/04/2020 |
| Patient Name | Mr. SAILENDRA PAL | Contact No | 9163179023 |
| Address | 48, A.P. GHOSH ROAD, CHATRA | Age | 78 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||