Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02150 | Date 27/11/2018 |
| Token No | SM/18-19/4228 27/11/2018 | Serial | 020 Last Visit: 14/01/2019 |
| Patient Name | Mr. BIMLENDU MUKHERJEE | Contact No | 7044395747 |
| Address | CHATRA CHOWDHURY PARA | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||