Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02176 | Date 28/11/2018 |
| Token No | SM/19-20/8827 20/08/2019 | Serial | 106 Last Visit: 09/04/2022 |
| Patient Name | Mr. ANANTA DEB CHAKRABORTY | Contact No | 7003504388 |
| Address | 24 CHOWDHURY PARA, CHATRA | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||