Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00251 | Date 08/08/2018 |
| Token No | SM/18-19/267 08/08/2018 | Serial | 033 Last Visit: 08/08/2018 |
| Patient Name | Mr. SK GOLAM KADER | Contact No | |
| Address | AUROBINDO SARANI, CHATRA | Age | 27 Years,4 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||