Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01324 | Date 25/09/2018 |
| Token No | SM/18-19/2044 25/09/2018 | Serial | 026 Last Visit: 25/09/2018 |
| Patient Name | Mr. AKASH BHUIAY | Contact No | 9874056827 |
| Address | ANJANGAR , SHEWRAPHULI | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||