Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00989 | Date 07/09/2018 |
| Token No | SM/18-19/1370 07/09/2018 | Serial | 042 Last Visit: 07/09/2018 |
| Patient Name | Mr. PARASAR BANERJEE | Contact No | 9051152122 |
| Address | 13 P N MUKHARJEE STREET | Age | 48.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 112/70 mmHg | Weight | 62 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||