Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01546 | Date 06/10/2018 |
| Token No | SM/18-19/2555 06/10/2018 | Serial | 015 Last Visit: 06/10/2018 |
| Patient Name | Mr. PARTHO PRATIM BHATTACHARYA | Contact No | 8100490076 |
| Address | 37 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/85 mmHg | Weight | 50 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||