Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00823 | Date 15/09/2018 |
| Token No | SM/18-19/1085 15/09/2018 | Serial | 005 |
| Patient Name | Mr. PROMOD PRADHAN | Contact No | |
| Address | S N CHATTEJEE STREET | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/82 mmHg | Weight | 51 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||