Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08873 | Date 15/10/2020 |
| Token No | SM/20-21/27175 05/11/2020 | Serial | 036 Last Visit: 27/11/2020 |
| Patient Name | Mr. JAYDEB DAS | Contact No | 9143346928 |
| Address | 30 P.N.K.B. LANE,CHATRA | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||