Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01188 | Date 18/09/2018 |
| Token No | SM/18-19/1756 18/09/2018 | Serial | 022 Last Visit: 18/09/2018 |
| Patient Name | Mr. T K GHOSH | Contact No | 9804710491 |
| Address | 25 CHOWDHURI PARA LANE | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 143/67 mmHg | Weight | 51 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||