Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04080 | Date 08/03/2019 |
| Token No | SM/18-19/10132 08/03/2019 | Serial | 023 Last Visit: 08/03/2019 |
| Patient Name | Mr. ANIL BASU | Contact No | 9088404991 |
| Address | 21 P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||