Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00585 | Date 20/08/2018 |
| Token No | SM/18-19/689 20/08/2018 | Serial | 033 Last Visit: 20/08/2018 |
| Patient Name | Mr. RAJ KISOR MAHTO | Contact No | 7699869788 |
| Address | 29, DHARMOTALA CHATRA | Age | 40.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 104/69 mmHg | Weight | 63 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||