Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02131 | Date 26/11/2018 |
| Token No | SM/18-19/4172 26/11/2018 | Serial | 045 Last Visit: 26/11/2018 |
| Patient Name | Mr. SANJAY GHORAI | Contact No | 9831516154 |
| Address | 5 , BARUI PARA LANE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||