Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00457 | Date 14/08/2018 |
| Token No | SM/18-19/7884 02/02/2019 | Serial | 073 Last Visit: 02/02/2019 |
| Patient Name | Mr. RABIN LAHA | Contact No | 9163685518 |
| Address | CHATRA SHITALATALA | Age | 51.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||