Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01801 | Date 31/10/2018 |
| Token No | SM/18-19/3312 01/11/2018 | Serial | 061 Last Visit: 14/11/2018 |
| Patient Name | Mr. CHIRANJIB MUKHERJEE | Contact No | |
| Address | LAHIRI PARA CHATRA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||