Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00479 | Date 16/08/2018 |
| Token No | SM/18-19/564 17/08/2018 | Serial | 002 Last Visit: 17/08/2018 |
| Patient Name | Mr. BASUDEB PAL | Contact No | 8017570530 |
| Address | 10, CHATRA BAZAR ROAD | Age | 86.0 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 138/55 mmHg | Weight | 55 KG |
| Pulse Rate | 69 / min | Height | cm BMI: inf |
| Diagnosis | |||