Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00071 | Date 03/08/2018 |
| Token No | SM/18-19/71 03/08/2018 | Serial | 003 Last Visit: 03/08/2018 |
| Patient Name | Mr. SATYANARAYAN LAHA | Contact No | |
| Address | 26, CHATARA BARUI PARA | Age | 82 Years,3 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||