Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01590 | Date 09/10/2018 |
| Token No | SM/18-19/2669 09/10/2018 | Serial | 058 Last Visit: 09/10/2018 |
| Patient Name | Mr. ABHIJIT DAS | Contact No | 8961220346 |
| Address | 20/A KUMIR JELA ROAD | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 87 KG |
| Pulse Rate | 88 / min | Height | cm BMI: inf |
| Diagnosis | |||