Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01144 | Date 14/09/2018 |
| Token No | SM/18-19/1668 14/09/2018 | Serial | 034 Last Visit: 14/09/2018 |
| Patient Name | Mr. NARAYAN CH. DAS | Contact No | 8583899909 |
| Address | 4, CHOWDHURY PARA LANE | Age | 48.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 116/83 mmHg | Weight | 91 KG |
| Pulse Rate | 94 / min | Height | cm BMI: inf |
| Diagnosis | |||