Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00792 | Date 28/08/2018 |
| Token No | SM/18-19/989 28/08/2018 | Serial | 059 Last Visit: 28/08/2018 |
| Patient Name | Mr. TARAPADA GHOSHAL | Contact No | |
| Address | GODAR BAGAN, BAIDYABATI M | Age | 59.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/85 mmHg | Weight | 58 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||