Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01775 | Date 30/10/2018 |
| Token No | SM/18-19/3159 30/10/2018 | Serial | 030 Last Visit: 30/10/2018 |
| Patient Name | Mr. BJAY SAHA | Contact No | |
| Address | JORA BARI | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||