Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10748 | Date 04/03/2022 |
| Token No | SM/21-22/10541 07/03/2022 | Serial | 005 Last Visit: 07/03/2022 |
| Patient Name | Mr. CHANDI CHARAN NAYAK | Contact No | 9903400976 |
| Address | 3/D DUTTA PARA LANE CHATRA SERAMPORE | Age | 82 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 19.396188 |
| Diagnosis | |||