Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00798 | Date 29/08/2018 |
| Token No | SM/18-19/998 29/08/2018 | Serial | 004 Last Visit: 29/08/2018 |
| Patient Name | Mr. PROKASH CHANDRA DAS | Contact No | |
| Address | 29 CHATRA DHARMATALA LANE | Age | 72.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 97/52 mmHg | Weight | 44 KG |
| Pulse Rate | 79,DHAR / min | Height | cm BMI: inf |
| Diagnosis | |||