Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01102 | Date 13/09/2018 |
| Token No | SM/18-19/1607 13/09/2018 | Serial | 030 Last Visit: 13/09/2018 |
| Patient Name | Mr. PRABHAS LAHA | Contact No | 9748257813 |
| Address | 26, CHATRA BARUI PARA | Age | 43.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||