Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01333 | Date 25/09/2018 |
| Token No | SM/18-19/2063 25/09/2018 | Serial | 045 Last Visit: 25/09/2018 |
| Patient Name | Mr. RANJIT MAJHI | Contact No | |
| Address | BAIDYABATI(M) | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/75 mmHg | Weight | 65 KG |
| Pulse Rate | 95 / min | Height | cm BMI: inf |
| Diagnosis | |||