Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00824 | Date 15/09/2018 |
| Token No | SM/18-19/1086 15/09/2018 | Serial | 006 |
| Patient Name | Mr. MILAN BIHARI SEN | Contact No | |
| Address | CHATTERJEE LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/92 mmHg | Weight | 59 KG |
| Pulse Rate | 98 / min | Height | cm |
| Diagnosis | |||