Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01760 | Date 29/10/2018 |
| Token No | SM/18-19/3118 29/10/2018 | Serial | 090 Last Visit: 29/10/2018 |
| Patient Name | Mr. SK RABI | Contact No | 9088399717 |
| Address | 23, CHATRA KUMOR PARA | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||