Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00855 | Date 31/08/2018 |
| Token No | SM/18-19/4374 29/11/2018 | Serial | 035 Last Visit: 05/01/2019 |
| Patient Name | Mr. SK JAMIR | Contact No | 8798081829 |
| Address | P N MUKHARJEE STREET | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||