Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00994 | Date 08/09/2018 |
| Token No | SM/18-19/1384 08/09/2018 | Serial | 013 Last Visit: 08/09/2018 |
| Patient Name | Mr. AMIT DAS | Contact No | 9563295459 |
| Address | KATUWA PALTI ROAD | Age | 20.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 123/53 mmHg | Weight | 47 KG |
| Pulse Rate | 61 / min | Height | cm BMI: inf |
| Diagnosis | |||