Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00320 | Date 10/08/2018 |
| Token No | SM/18-19/2620 09/10/2018 | Serial | 009 Last Visit: 13/10/2018 |
| Patient Name | Mr. SAILEN BANERJEE | Contact No | |
| Address | DEY STREET SERAMPORE HOOGHLY | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 47.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||