Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01471 | Date 03/10/2018 |
| Token No | SM/18-19/2359 03/10/2018 | Serial | 014 Last Visit: 03/10/2018 |
| Patient Name | Mr. JAYNTA KR. SAHA | Contact No | 9143015343 |
| Address | 12A/1 GAILA PARA LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 122/72 mmHg | Weight | 65 KG |
| Pulse Rate | 64 / min | Height | cm BMI: inf |
| Diagnosis | |||