Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02532 | Date 14/12/2018 |
| Token No | SM/18-19/5250 14/12/2018 | Serial | 039 Last Visit: 14/12/2018 |
| Patient Name | Mr. BHASKAR CHAKRABORTY | Contact No | 9123026473 |
| Address | 7 DR. P N MUKHERJEE STREET | Age | 22YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 87 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||