Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02046 | Date 20/11/2018 |
| Token No | SM/18-19/4748 06/12/2018 | Serial | 003 Last Visit: 06/12/2018 |
| Patient Name | Mr. BIKASH LAHA | Contact No | |
| Address | 130B CHATRA BARUI PARA | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||