Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00817 | Date 29/08/2018 |
| Token No | SM/18-19/1026 29/08/2018 | Serial | 032 Last Visit: 29/08/2018 |
| Patient Name | Mr. SUSHANTA DAS | Contact No | |
| Address | KATWA | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 108/62 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm BMI: nan |
| Diagnosis | |||