Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01297 | Date 24/09/2018 |
| Token No | SM/18-19/1981 24/09/2018 | Serial | 040 Last Visit: 24/09/2018 |
| Patient Name | Mr. SANJAY DAS | Contact No | |
| Address | 16, TINBAJAR SERAMPORE | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||