Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00142 | Date 06/08/2018 |
| Token No | SM/18-19/527 16/08/2018 | Serial | 015 Last Visit: 16/08/2018 |
| Patient Name | Mr. KAMLAKANTA DAS | Contact No | 9748068816 |
| Address | 66, CHATRA DHARMOTALA | Age | 52.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 142/93 mmHg | Weight | 65 KG |
| Pulse Rate | 122 / min | Height | cm BMI: inf |
| Diagnosis | |||