Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01662 | Date 13/10/2018 |
| Token No | SM/19-20/873 13/04/2019 | Serial | 033 Last Visit: 07/05/2019 |
| Patient Name | Mr. TAPASENDU MUKHERJEE | Contact No | 9433821167 |
| Address | 3/B/4 BHADURI PARA LANE CHATRA | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||