Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02375 | Date 06/12/2018 |
| Token No | SM/18-19/4784 06/12/2018 | Serial | 039 Last Visit: 06/12/2018 |
| Patient Name | Mr. ANUP DAS | Contact No | 7384425523 |
| Address | 18, BHADURI PARA | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||