Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 00862 | Date 31/08/2018 |
| Token No | SM/18-19/1112 31/08/2018 | Serial | 026 Last Visit: 31/08/2018 |
| Patient Name | Mr. SK HAFIJUR RAHAMAN | Contact No | 9732602381 |
| Address | SERAMPORE,MUNICIPELETI | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 102/69 mmHg | Weight | 67.5 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||