Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00514 | Date 17/08/2018 |
| Token No | SM/18-19/2221 29/09/2018 | Serial | 009 Last Visit: 29/09/2018 |
| Patient Name | Mr. DEBASISH PANJA | Contact No | 9903187392 |
| Address | 5, P.N MUKHERJEE STREET | Age | 46.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||