Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01084 | Date 12/09/2018 |
| Token No | SM/18-19/1575 12/09/2018 | Serial | 041 Last Visit: 12/09/2018 |
| Patient Name | Mr. KOUSHIK ROY | Contact No | 8420563623 |
| Address | 2 P.N. CHAKRABORTY LANE | Age | 26.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 119/73 mmHg | Weight | 86 KG |
| Pulse Rate | 81 / min | Height | cm BMI: inf |
| Diagnosis | |||