Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00838 | Date 30/08/2018 |
| Token No | SM/18-19/7263 22/01/2019 | Serial | 034 Last Visit: 22/01/2019 |
| Patient Name | Mr. ARUP KUNDU | Contact No | 9830613250 |
| Address | 2 P N MUKHARJEE STREET | Age | 68.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||