Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01106 | Date 13/09/2018 |
| Token No | SM/18-19/1613 13/09/2018 | Serial | 036 Last Visit: 13/09/2018 |
| Patient Name | Mr. HIMADRI DAS | Contact No | 8420366601 |
| Address | 10/C CHATRA DUTTA PARA | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||