Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01139 | Date 14/09/2018 |
| Token No | SM/18-19/1661 14/09/2018 | Serial | 027 Last Visit: 14/09/2018 |
| Patient Name | Mr. SK KURMAN ALI | Contact No | |
| Address | CHATRA SERAMPORE | Age | 58.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 135/75 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||