Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00341 | Date 10/08/2018 |
| Token No | SM/19-20/9293 28/08/2019 | Serial | 016 Last Visit: 28/08/2019 |
| Patient Name | Mr. SADANANDA SOM | Contact No | 7890781765 |
| Address | 68/A BARUI PARA CHATRA | Age | 50.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||