Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01192 | Date 18/09/2018 |
| Token No | SM/18-19/1762 18/09/2018 | Serial | 028 Last Visit: 18/09/2018 |
| Patient Name | Mr. RAJIB PARAMANIC | Contact No | 8100264427 |
| Address | CHATRA SHITALA TALA | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||