Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00637 | Date 23/08/2018 |
| Token No | SM/18-19/765 23/08/2018 | Serial | 014 Last Visit: 23/08/2018 |
| Patient Name | Mr. SWAPAN BERA | Contact No | 7998715565 |
| Address | 66, CHTRA DHARMOTALA LANE | Age | 50.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 124/55 mmHg | Weight | 52 KG |
| Pulse Rate | 73 / min | Height | cm BMI: inf |
| Diagnosis | |||