Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02209 | Date 29/11/2018 |
| Token No | SM/18-19/4377 29/11/2018 | Serial | 038 Last Visit: 29/11/2018 |
| Patient Name | Mr. NIRMAL SAIN | Contact No | 8420237056 |
| Address | 17 NANDOLAL GOSWAMI STREET | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||