Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00577 | Date 20/08/2018 |
| Token No | SM/18-19/1757 18/09/2018 | Serial | 023 Last Visit: 01/10/2018 |
| Patient Name | Mr. SAMBHUNATH BHATTACHARYA | Contact No | 8697156035 |
| Address | 9/A CHARA CHOWDHARY PARA LANE | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||