Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01588 | Date 09/10/2018 |
| Token No | SM/18-19/2665 09/10/2018 | Serial | 054 Last Visit: 09/10/2018 |
| Patient Name | Mr. B MALLICK | Contact No | 9903481987 |
| Address | CHATRA MUSALMAN PARA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 134/79 mmHg | Weight | 60 KG |
| Pulse Rate | 70 / min | Height | cm BMI: inf |
| Diagnosis | |||