Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00305 | Date 10/08/2018 |
| Token No | SM/18-19/329 10/08/2018 | Serial | 017 Last Visit: 16/08/2018 |
| Patient Name | Mr. ASOKE DUTTA | Contact No | |
| Address | 33/2 DUTTA PARA LANE , CHATRA | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/95 mmHg | Weight | 83 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||