Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00473 | Date 16/08/2018 |
| Token No | SM/18-19/533 16/08/2018 | Serial | 021 Last Visit: 16/08/2018 |
| Patient Name | Mr. DILIP RAY | Contact No | 26623020 |
| Address | 7, BANIYA PARA LANE , SERAMPORE | Age | 75.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 190/88 mmHg | Weight | 45.5 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||