Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00813 | Date 29/08/2018 |
| Token No | SM/18-19/1020 29/08/2018 | Serial | 026 Last Visit: 29/08/2018 |
| Patient Name | Mr. HENA GHOSH | Contact No | 9007359004 |
| Address | P N MUKHARJEE STREET CHATRA | Age | 43.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 111/64 mmHg | Weight | 45 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||