Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00986 | Date 07/09/2018 |
| Token No | SM/18-19/1364 07/09/2018 | Serial | 036 Last Visit: 07/09/2018 |
| Patient Name | Mr. SIDHARTA BANERJEE | Contact No | 7004726650 |
| Address | 45 N.C.C LANE CHATRA SHITLATALA SERAMPORE HOOGHLY | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 158/96 mmHg | Weight | 104 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||