Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00835 | Date 30/08/2018 |
| Token No | SM/18-19/1054 30/08/2018 | Serial | 008 Last Visit: 08/09/2018 |
| Patient Name | Mr. SK IRSADH | Contact No | |
| Address | P N MUKHERJEE STREET | Age | 33.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 126/70 mmHg | Weight | 59 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||