Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00177 | Date 06/08/2018 |
| Token No | SM/18-19/2716 10/10/2018 | Serial | 041 Last Visit: 22/02/2019 |
| Patient Name | Mr. KRISHNENDU THAKUR | Contact No | 9874137278 |
| Address | 19, DR, P.N MUKHERJEE ST. | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||