Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01190 | Date 18/09/2018 |
| Token No | SM/18-19/1759 18/09/2018 | Serial | 025 Last Visit: 27/06/2023 |
| Patient Name | Mr. SK BAPI | Contact No | 9143882680 |
| Address | 40 CHATRA MUSALMAN PARA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||