Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00598 | Date 21/08/2018 |
| Token No | SM/18-19/1422 10/09/2018 | Serial | 010 Last Visit: 01/06/2019 |
| Patient Name | Mr. BIJOY CHAKRABORTY | Contact No | 8777250282 |
| Address | 12X, TARAPUKUR GOVT. QUATER | Age | 55.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 154/78 mmHg | Weight | 66 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||