Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04469 | Date 29/03/2019 |
| Token No | SM/18-19/11582 29/03/2019 | Serial | 090 Last Visit: 29/03/2019 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | 6291338917 |
| Address | 190/2 RAJDHAR COLLNEY SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 110 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||