Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01237 | Date 20/09/2018 |
| Token No | SM/18-19/1856 20/09/2018 | Serial | 007 Last Visit: 20/09/2018 |
| Patient Name | Mr. SAMIR GHOSH | Contact No | 9836704935 |
| Address | 41 T.C GOSWAMI STREET | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||