Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01834 | Date 01/11/2018 |
| Token No | SM/18-19/3288 01/11/2018 | Serial | 037 Last Visit: 01/11/2018 |
| Patient Name | Mr. SUSHANTA SANAL | Contact No | 9432242968 |
| Address | 6A LAHIRI PARA | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||