Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02823 | Date 04/01/2019 |
| Token No | SM/18-19/6265 04/01/2019 | Serial | 050 Last Visit: 04/01/2019 |
| Patient Name | Mr. SUMANTA SOM | Contact No | 9836526908 |
| Address | CHATRA BARUI PARA | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/100 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||