Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00891 | Date 04/09/2018 |
| Token No | SM/18-19/1178 04/09/2018 | Serial | 014 Last Visit: 04/09/2018 |
| Patient Name | Mr. SK. SERAJUL | Contact No | 9007755751 |
| Address | 4/A ARBINDO SARNI , CHATRA | Age | 58.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/66 mmHg | Weight | 47 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||