Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00097 | Date 03/08/2018 |
| Token No | SM/18-19/99 03/08/2018 | Serial | 016 Last Visit: 03/08/2018 |
| Patient Name | Mr. SHIBNATH ADHIKARY | Contact No | |
| Address | 14, MAITRI PARISAD | Age | 52.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 107/80 mmHg | Weight | KG |
| Pulse Rate | 90 / min | Height | cm BMI: nan |
| Diagnosis | |||