Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00304 | Date 10/08/2018 |
| Token No | SM/18-19/328 10/08/2018 | Serial | 016 Last Visit: 17/08/2018 |
| Patient Name | Mr. SUBRODIP BANERJEE | Contact No | 7686890858 |
| Address | 2, DHARMOTALA LANE , CHATRA | Age | 24.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 121/80 mmHg | Weight | 42 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||