Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09796 | Date 06/07/2021 |
| Token No | SM/21-22/2893 06/07/2021 | Serial | 023 Last Visit: 06/07/2021 |
| Patient Name | Mr. SWAPAN PATRA | Contact No | 9007534215 |
| Address | 2,RAMKRISHNA BYE LANE CHATRA MANNA PARA | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||