Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01492 | Date 04/10/2018 |
| Token No | SM/18-19/2413 04/10/2018 | Serial | 011 Last Visit: 04/10/2018 |
| Patient Name | Mr. RAM PRASAD DEY | Contact No | 9674808393 |
| Address | 14/A MUKHERJEE PARA LANE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||