Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01309 | Date 24/09/2018 |
| Token No | SM/18-19/1997 24/09/2018 | Serial | 056 Last Visit: 24/09/2018 |
| Patient Name | Mr. ARUP CHOWDHURI | Contact No | 9903468764 |
| Address | 4 CHOWDHURI PARA LANE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||