Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01093 | Date 13/09/2018 |
| Token No | SM/18-19/1590 13/09/2018 | Serial | 013 Last Visit: 13/09/2018 |
| Patient Name | Mr. SANTANU BANERJEE | Contact No | 8550995524 |
| Address | 4 CHATRA CHOWDHURI PARA BYE LANE | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 139/93 mmHg | Weight | 90 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||