Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03846 | Date 23/02/2019 |
| Token No | SM/18-19/9391 23/02/2019 | Serial | 077 Last Visit: 23/02/2019 |
| Patient Name | Mr. LAKHMAN CH.MAITY | Contact No | 9830443601 |
| Address | SAT CHASI PARA LANE,BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||