Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01490 | Date 04/10/2018 |
| Token No | SM/18-19/2411 04/10/2018 | Serial | 009 Last Visit: 04/10/2018 |
| Patient Name | Mr. UTPAL CHATERJEE | Contact No | 9674547406 |
| Address | 10/1 CHATRA SHITLATALA TALA , BAIDYABATI (M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 77/54 mmHg | Weight | 60.5 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||