Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00249 | Date 08/08/2018 |
| Token No | SM/18-19/265 08/08/2018 | Serial | 031 Last Visit: 08/08/2018 |
| Patient Name | Mr. ANIRUDHA DUTTA | Contact No | |
| Address | CHATRA DUTTA PARA | Age | 11.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||