Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01121 | Date 14/09/2018 |
| Token No | SM/18-19/1639 14/09/2018 | Serial | 005 Last Visit: 14/09/2018 |
| Patient Name | Mr. NITAI DUTTA | Contact No | |
| Address | 131 A P GHOSH ROAD | Age | 75.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/100 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||