Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01444 | Date 01/10/2018 |
| Token No | SM/18-19/2307 01/10/2018 | Serial | 027 Last Visit: 01/10/2018 |
| Patient Name | Mr. MD RAJIV | Contact No | 7044611156 |
| Address | 7, ARBINDA SARANI | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||