Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00598 | Date 21/08/2018 |
| Token No | SM/19-20/2529 11/05/2019 | Serial | 017 Last Visit: 01/06/2019 |
| Patient Name | Mr. BIJOY CHAKRABORTY | Contact No | 8777250282 |
| Address | 12X, TARAPUKUR GOVT. QUATER | Age | 55.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||