Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03011 | Date 15/01/2019 |
| Token No | SM/18-19/6831 15/01/2019 | Serial | 024 Last Visit: 15/01/2019 |
| Patient Name | Mr. TAPAN CHATTERJEE | Contact No | 9432246916 |
| Address | 142/A R.K. ROAD, CHATRA, BAIDYABATI M | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||