Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01971 | Date 14/11/2018 |
| Token No | SM/18-19/3705 14/11/2018 | Serial | 094 Last Visit: 14/11/2018 |
| Patient Name | Mr. NABAKUMAR ROUTH | Contact No | |
| Address | SANTOSH PUR.TARAKESWAR | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||