Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00853 | Date 31/08/2018 |
| Token No | SM/18-19/8898 18/02/2019 | Serial | 071 Last Visit: 03/06/2019 |
| Patient Name | Mr. PRASHANTA GUIN | Contact No | 9830240708 |
| Address | CHATRA DUTTO PARA | Age | 72.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||