Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01177 | Date 15/09/2018 |
| Token No | SM/18-19/1731 15/09/2018 | Serial | 051 Last Visit: 15/09/2018 |
| Patient Name | Mr. AMIT SAHA | Contact No | 9007533836 |
| Address | 20/A/1 PRABHAS NAGAR | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||