Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02071 | Date 22/11/2018 |
| Token No | SM/18-19/4012 22/11/2018 | Serial | 007 Last Visit: 14/01/2019 |
| Patient Name | Mr. SHYAM SUNDAR GUIN | Contact No | 9903170682 |
| Address | CHATRA DUTTA PARA | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||