Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00722 | Date 27/08/2018 |
| Token No | SM/18-19/893 27/08/2018 | Serial | 026 Last Visit: 05/10/2020 |
| Patient Name | Mr. SHYAMAL RAY | Contact No | |
| Address | 94, N.S AVENUE | Age | 61.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 88/48 mmHg | Weight | 43 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||