Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02945 | Date 10/01/2019 |
| Token No | SM/18-19/6617 10/01/2019 | Serial | 044 Last Visit: 10/01/2019 |
| Patient Name | Mr. BARJOMAHAN SAHA | Contact No | |
| Address | 25B K.M SAHA STREET | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||