Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00981 | Date 07/09/2018 |
| Token No | SM/18-19/1355 07/09/2018 | Serial | 027 Last Visit: 28/06/2019 |
| Patient Name | Mr. PACHU GOPAL PAUL | Contact No | |
| Address | 14 BARUI PARA LANE | Age | 87 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 137/73 mmHg | Weight | 63 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||