Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00577 | Date 20/08/2018 |
| Token No | SM/18-19/1430 10/09/2018 | Serial | 018 Last Visit: 01/10/2018 |
| Patient Name | Mr. SAMBHUNATH BHATTACHARYA | Contact No | 8697156035 |
| Address | 9/A CHARA CHOWDHARY PARA LANE | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 125/60 mmHg | Weight | 68 KG |
| Pulse Rate | 68 / min | Height | cm BMI: inf |
| Diagnosis | |||