Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01275 | Date 22/09/2018 |
| Token No | SM/18-19/1940 22/09/2018 | Serial | 053 Last Visit: 22/09/2018 |
| Patient Name | Mr. TAPAN MONDAL | Contact No | 9331282757 |
| Address | CHATRA BAGHER BAGAN | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||