Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00226 | Date 08/08/2018 |
| Token No | SM/18-19/238 08/08/2018 | Serial | 004 Last Visit: 08/08/2018 |
| Patient Name | Mr. KAMALA KANTA GUIN | Contact No | |
| Address | 20, DUTTAPARA LANE CHATRA | Age | 58.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 138/80 mmHg | Weight | 56 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||