Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00771 | Date 28/08/2018 |
| Token No | SM/18-19/958 28/08/2018 | Serial | 028 Last Visit: 28/08/2018 |
| Patient Name | Mr. KRISHNA BANERJEE | Contact No | 9831515902 |
| Address | 16, R.K ROAD SERAMPORE | Age | 62.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/79 mmHg | Weight | 60 KG |
| Pulse Rate | 60 / min | Height | cm BMI: inf |
| Diagnosis | |||