Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00616 | Date 21/08/2018 |
| Token No | SM/18-19/733 21/08/2018 | Serial | 031 Last Visit: 21/08/2018 |
| Patient Name | Mr. MADAN MANA | Contact No | |
| Address | CHATRA DAS PARA HARIJAN ROAD | Age | 54.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 111/61 mmHg | Weight | 45 KG |
| Pulse Rate | 71 / min | Height | cm BMI: inf |
| Diagnosis | |||