Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00531 | Date 18/08/2018 |
| Token No | SM/18-19/609 18/08/2018 | Serial | 005 Last Visit: 18/08/2018 |
| Patient Name | Mr. SARUP SEN | Contact No | 9874979447 |
| Address | 85, A.P GHOSH ROAD | Age | 45.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 112/73 mmHg | Weight | 71 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||