Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00689 | Date 25/08/2018 |
| Token No | SM/18-19/843 25/08/2018 | Serial | 012 Last Visit: 25/08/2018 |
| Patient Name | Mr. ABHIJIT KUNDU | Contact No | 7278286314 |
| Address | CHATRA SACASIPARA | Age | 30.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||