Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00435 | Date 14/08/2018 |
| Token No | SM/18-19/2642 09/10/2018 | Serial | 031 Last Visit: 09/10/2018 |
| Patient Name | Mr. SOURABH MAJHI | Contact No | |
| Address | MANNAPARA, CHATRA, BAIDYABATI M | Age | 24.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||