Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01049 | Date 11/09/2018 |
| Token No | SM/18-19/1513 11/09/2018 | Serial | 043 Last Visit: 11/09/2018 |
| Patient Name | Mr. SK RUMJAN | Contact No | 9088182394 |
| Address | CHATRA MUSALMAN PARA | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/47 mmHg | Weight | 50 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||