Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01288 | Date 24/09/2018 |
| Token No | SM/18-19/2433 04/10/2018 | Serial | 031 Last Visit: 04/10/2018 |
| Patient Name | Mr. NITAI CHANDRA DUTTA | Contact No | |
| Address | 23 MUKHARJEE PARA LANE | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||