Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01077 | Date 12/09/2018 |
| Token No | SM/18-19/1563 12/09/2018 | Serial | 029 Last Visit: 12/09/2018 |
| Patient Name | Mr. BUDU MALLICK | Contact No | 9903481987 |
| Address | CHATRA MUSALMANPARA | Age | 51.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 129/84 mmHg | Weight | 61 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||