Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00859 | Date 31/08/2018 |
| Token No | SM/18-19/1107 31/08/2018 | Serial | 021 Last Visit: 31/08/2018 |
| Patient Name | Mr. BADAL RAJMUNSHI | Contact No | 8367847005 |
| Address | KATOYA, | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 131/81 mmHg | Weight | 65 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||