Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 00547 | Date 18/08/2018 |
| Token No | SM/18-19/633 18/08/2018 | Serial | 029 Last Visit: 15/09/2018 |
| Patient Name | Mr. UMA SANKAR RAY | Contact No | 8583925019 |
| Address | SANPUKAR BAIDYABATI(M) | Age | 57.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 157/71 mmHg | Weight | 45.5 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||