Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01266 | Date 22/09/2018 |
| Token No | SM/18-19/1918 22/09/2018 | Serial | 031 Last Visit: 22/09/2018 |
| Patient Name | Mr. RAPTIM BHATTACHERJEE | Contact No | 9433967519 |
| Address | CHATRA SHITALATAL | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||