Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01785 | Date 30/10/2018 |
| Token No | SM/18-19/3514 05/11/2018 | Serial | 074 Last Visit: 03/12/2018 |
| Patient Name | Mr. CHITTARANJAN SAHA | Contact No | |
| Address | SEORAPHULI | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||