Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02027 | Date 19/11/2018 |
| Token No | SM/18-19/3863 19/11/2018 | Serial | 030 Last Visit: 26/11/2018 |
| Patient Name | Mr. SUPRIYA DUTTA | Contact No | 9433184566 |
| Address | 70 CHATRA BARUI PARA LANE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||