Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00532 | Date 18/08/2018 |
| Token No | SM/18-19/610 18/08/2018 | Serial | 006 Last Visit: 18/08/2018 |
| Patient Name | Mr. MILAN DAS | Contact No | 9874979447 |
| Address | 36, BHADURI LANE, CHATRA | Age | 22.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 128/92 mmHg | Weight | 62 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||