Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00904 | Date 04/09/2018 |
| Token No | SM/18-19/1199 04/09/2018 | Serial | 035 Last Visit: 04/09/2018 |
| Patient Name | Mr. TARAK NATH SHOW | Contact No | |
| Address | SERAMPORE TIN BAZER | Age | 50.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 105/61 mmHg | Weight | 49 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||