Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03156 | Date 24/01/2019 |
| Token No | SM/18-19/7347 24/01/2019 | Serial | 034 Last Visit: 24/01/2019 |
| Patient Name | Mr. TINKARI GHOSH | Contact No | 7059586133 |
| Address | 3/B/3 BHADURI LANE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 50 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||