Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03292 | Date 01/02/2019 |
| Token No | SM/18-19/7794 01/02/2019 | Serial | 070 Last Visit: 01/02/2019 |
| Patient Name | Mr. BISU DAS | Contact No | 9874613252 |
| Address | 75 K M SHA STREET | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||