Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02095 | Date 22/11/2018 |
| Token No | SM/18-19/5719 24/12/2018 | Serial | 042 Last Visit: 02/01/2019 |
| Patient Name | Mr. ARUP DAS | Contact No | 9051684713 |
| Address | 11 , DEY BAGAN LANE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||