Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 01789 | Date 30/10/2018 |
| Token No | SM/18-19/3194 30/10/2018 | Serial | 065 Last Visit: 30/10/2018 |
| Patient Name | Mr. RABINDRA NATH JANA | Contact No | 923187106 |
| Address | CHARABAGAN ,BAUNI PARA | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||