Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00602 | Date 21/08/2018 |
| Token No | SM/18-19/716 21/08/2018 | Serial | 014 Last Visit: 21/08/2018 |
| Patient Name | Mr. RABIN NANDY | Contact No | 9874857169 |
| Address | 65, TELI PARA CHATRA SHITLATALA | Age | 46.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 106/54 mmHg | Weight | 55 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||