Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00307 | Date 10/08/2018 |
| Token No | SM/18-19/331 10/08/2018 | Serial | 019 Last Visit: 10/08/2018 |
| Patient Name | Mr. SUJIT ADHIKARY | Contact No | |
| Address | CHATRA MANA PARA | Age | 35.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 135/85 mmHg | Weight | 70 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||