Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01876 | Date 03/11/2018 |
| Token No | SM/18-19/3396 03/11/2018 | Serial | 009 Last Visit: 03/11/2018 |
| Patient Name | Mr. SUKUKMAR LAHA | Contact No | |
| Address | G.T ROAD SERAMPORE | Age | 32 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/75 mmHg | Weight | 65 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||