Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01537 | Date 05/10/2018 |
| Token No | SM/18-19/4251 27/11/2018 | Serial | 043 Last Visit: 27/11/2018 |
| Patient Name | Mr. PRODIP KUMAR CHATTERJEE | Contact No | 8100112891 |
| Address | 8 MUSALMAN PARA | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||