Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00514 | Date 17/08/2018 |
| Token No | SM/18-19/585 17/08/2018 | Serial | 023 Last Visit: 29/09/2018 |
| Patient Name | Mr. DEBASISH PANJA | Contact No | 9903187392 |
| Address | 5, P.N MUKHERJEE STREET | Age | 46.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 118/61 mmHg | Weight | 86 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||