Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02530 | Date 14/12/2018 |
| Token No | SM/18-19/5245 14/12/2018 | Serial | 034 Last Visit: 14/12/2018 |
| Patient Name | Mr. KAMAL KR. DEY | Contact No | 6290408655 |
| Address | 58 PANCHANAN TALA LANE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||