Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00813 | Date 22/09/2018 |
| Token No | SM/18-19/1075 22/09/2018 | Serial | 055 |
| Patient Name | Mr. TANMOY GOSWAMI | Contact No | 9093562584 |
| Address | K C BHATTACHARJEE LANE | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/74 mmHg | Weight | 58 KG |
| Pulse Rate | 83 / min | Height | cm |
| Diagnosis | |||