Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00539 | Date 18/08/2018 |
| Token No | SM/21-22/4385 25/08/2021 | Serial | 003 Last Visit: 21/05/2024 |
| Patient Name | Mr. DATTATREYA DAS | Contact No | 9883119984 |
| Address | 63, A.P GHOSH ROAD , CHATRA | Age | 18 Years,6 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||