Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01347 | Date 26/09/2018 |
| Token No | SM/18-19/2087 26/09/2018 | Serial | 016 Last Visit: 26/09/2018 |
| Patient Name | Mr. SUSHANTA SOM | Contact No | 9038044525 |
| Address | 121, BARUI PARA LANE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||