Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00750 | Date 27/08/2018 |
| Token No | SM/18-19/929 27/08/2018 | Serial | 062 Last Visit: 27/08/2018 |
| Patient Name | Mr. AMLESH GUIN | Contact No | 9331957735 |
| Address | 90/2 CHTARA BARUI PARA | Age | 46.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 146/93 mmHg | Weight | 63.5 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||