Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05548 | Date 24/06/2019 |
| Token No | SM/19-20/5220 24/06/2019 | Serial | 086 Last Visit: 21/01/2020 |
| Patient Name | Mr. SUKUMAR DE | Contact No | 9163422974 |
| Address | 11 B CHAMPATALA LANE,CHATRA | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||