Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04913 | Date 25/04/2019 |
| Token No | SM/19-20/1675 25/04/2019 | Serial | 061 Last Visit: 25/04/2019 |
| Patient Name | Mr. ARUN GHOSH | Contact No | 9051789026 |
| Address | 8 A. P. GHOSH ROAD | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||