Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02608 | Date 20/12/2018 |
| Token No | SM/18-19/5524 20/12/2018 | Serial | 037 Last Visit: 20/12/2018 |
| Patient Name | Mr. JAGARNATH CHOWDHURY | Contact No | 9836795378 |
| Address | 62A CHATRA GT ROAD CHATRA TETULTALA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||