Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02061 | Date 20/11/2018 |
| Token No | SM/18-19/3983 20/11/2018 | Serial | 061 Last Visit: 28/06/2022 |
| Patient Name | Mr. SADHAN CH. SHAW | Contact No | 9038155271 |
| Address | 29 K.M BHATTCHARJEE STREET | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 170/100 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||