Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00863 | Date 12/09/2018 |
| Token No | SM/18-19/1135 12/09/2018 | Serial | 025 |
| Patient Name | Mr. SHIBU SANTRA | Contact No | 9775231640 |
| Address | 3 NO MUKHERJEE LANE | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||