Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00324 | Date 10/08/2018 |
| Token No | SM/18-19/350 10/08/2018 | Serial | 038 Last Visit: 10/08/2018 |
| Patient Name | Mr. SOUMOJIT MANA | Contact No | |
| Address | CHATAR MANA PARA | Age | 35.0 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||