Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01257 | Date 22/09/2018 |
| Token No | SM/18-19/1895 22/09/2018 | Serial | 008 Last Visit: 22/09/2018 |
| Patient Name | Mr. TAPAN BENERJEE | Contact No | 8116122944 |
| Address | 1/2A N L GOSWAMI STREET | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||