Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00766 | Date 28/08/2018 |
| Token No | SM/18-19/1744 18/09/2018 | Serial | 010 Last Visit: 07/04/2020 |
| Patient Name | Mr. BASUDEB MONDAL | Contact No | 8583907269 |
| Address | 32 CHAKRABORTY LANE | Age | 67.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||