Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00788 | Date 22/09/2018 |
| Token No | SM/18-19/1050 22/09/2018 | Serial | 030 |
| Patient Name | Mr. GOUTAM SAMAJDAR | Contact No | 9736421589 |
| Address | CHATTERJEE LANE | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/70 mmHg | Weight | 62 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||