Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01225 | Date 19/09/2018 |
| Token No | SM/18-19/1831 19/09/2018 | Serial | 043 Last Visit: 19/09/2018 |
| Patient Name | Mr. BUMBA BANERJEE | Contact No | |
| Address | CHATRA DUTTA PARA | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/94 mmHg | Weight | KG |
| Pulse Rate | 118 / min | Height | cm BMI: nan |
| Diagnosis | |||