Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00348 | Date 11/08/2018 |
| Token No | SM/18-19/875 27/08/2018 | Serial | 008 Last Visit: 27/08/2018 |
| Patient Name | Mr. SUBRATA KARMAKAR | Contact No | 8597609020 |
| Address | 26, THAKURDAS BABU LANE | Age | 18.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||