Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01493 | Date 04/10/2018 |
| Token No | SM/18-19/2416 04/10/2018 | Serial | 014 Last Visit: 04/10/2018 |
| Patient Name | Mr. SHIBNATH | Contact No | 7596940975 |
| Address | 33, CHAKRABORTY LANE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||