Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01739 | Date 29/10/2018 |
| Token No | SM/18-19/3053 29/10/2018 | Serial | 025 Last Visit: 29/10/2018 |
| Patient Name | Mr. MD GANI | Contact No | |
| Address | 121, A.P GHOSH ROAD CHATRA | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||