Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01452 | Date 01/10/2018 |
| Token No | SM/18-19/2318 01/10/2018 | Serial | 038 Last Visit: 01/10/2018 |
| Patient Name | Mr. MOHON MALLIK | Contact No | 7685067083 |
| Address | 1 J M LEHIRI LANE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||