Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01707 | Date 27/10/2018 |
| Token No | SM/18-19/2997 27/10/2018 | Serial | 046 Last Visit: 27/10/2018 |
| Patient Name | Mr. BINAD KR. RAJBHAR | Contact No | 9339961824 |
| Address | 4/D BORO BAGAN LANE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||