Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01154 | Date 15/09/2018 |
| Token No | SM/18-19/1691 15/09/2018 | Serial | 011 Last Visit: 15/09/2018 |
| Patient Name | Mr. SUFAL SADHUKHAN | Contact No | 9062071918 |
| Address | 40/3/A A.P GHOSH ROAD | Age | 21.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||