Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00609 | Date 21/08/2018 |
| Token No | SM/18-19/725 21/08/2018 | Serial | 023 Last Visit: 21/08/2018 |
| Patient Name | Mr. PATHICK CHATTERJEE | Contact No | 8158010730 |
| Address | 26, P.N. MUKHERJEE STREET | Age | 22.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 106/56 mmHg | Weight | 62.5 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||