Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00670 | Date 24/08/2018 |
| Token No | SM/18-19/816 24/08/2018 | Serial | 014 Last Visit: 06/07/2019 |
| Patient Name | Mr. SUBRATA KARMAKAR | Contact No | 9088070566 |
| Address | CHATRA SIDDESARI LANE | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 111/70 mmHg | Weight | 63.5 KG |
| Pulse Rate | 70 / min | Height | cm BMI: inf |
| Diagnosis | |||