Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00564 | Date 20/08/2018 |
| Token No | SM/18-19/661 20/08/2018 | Serial | 005 Last Visit: 08/01/2021 |
| Patient Name | Mr. SARNAB GHOSH | Contact No | 8582898176 |
| Address | 8 DHARMATALA BEY LANE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 117/71 mmHg | Weight | 50 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||