Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00853 | Date 12/09/2018 |
| Token No | SM/18-19/1125 12/09/2018 | Serial | 015 |
| Patient Name | Mr. DEBANSHU SINGHA ROY | Contact No | 9745862131 |
| Address | K C BHATTACHARJEE LANE | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 122/80 mmHg | Weight | 63 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||