Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02120 | Date 26/11/2018 |
| Token No | SM/18-19/4351 29/11/2018 | Serial | 012 Last Visit: 29/11/2018 |
| Patient Name | Mr. BASUDEB KUNDU | Contact No | |
| Address | BY SERAMPORE ROAD | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||