Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01900 | Date 05/11/2018 |
| Token No | SM/18-19/3481 05/11/2018 | Serial | 041 Last Visit: 05/11/2018 |
| Patient Name | Mr. AJIT SADHUKHAN | Contact No | 9903321361 |
| Address | SINGUR,NATUN BAZAR | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 144/86 mmHg | Weight | 64.5 KG |
| Pulse Rate | 78 / min | Height | cm BMI: inf |
| Diagnosis | |||