Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00130 | Date 04/08/2018 |
| Token No | SM/18-19/133 04/08/2018 | Serial | 029 Last Visit: 04/08/2018 |
| Patient Name | Mr. SITAL PRASAD CHAKRABORTY | Contact No | |
| Address | 6, CHATRA CHOUDHRY PARA BY LANE | Age | 79.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 206/80 mmHg | Weight | 47 KG |
| Pulse Rate | 64 / min | Height | cm BMI: inf |
| Diagnosis | |||