Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08855 | Date 13/10/2020 |
| Token No | SM/20-21/28801 28/12/2020 | Serial | 013 Last Visit: 28/12/2020 |
| Patient Name | Mr. ABHIJIT PAL | Contact No | 9230347976 |
| Address | 14 BARUIPARA LANE,CHATRA | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||