Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01552 | Date 06/10/2018 |
| Token No | SM/18-19/2576 06/10/2018 | Serial | 036 Last Visit: 06/10/2018 |
| Patient Name | Mr. HARIPADA KARMAKAR | Contact No | 9674994053 |
| Address | 85 A P GHOSH ROAD | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 104/74 mmHg | Weight | 66 KG |
| Pulse Rate | 106 / min | Height | cm BMI: inf |
| Diagnosis | |||