Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00871 | Date 03/09/2018 |
| Token No | SM/18-19/1143 03/09/2018 | Serial | 002 |
| Patient Name | Mr. SEKHAR MONDAL | Contact No | 9563847120 |
| Address | K C BHATTACHARJEE LANE | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||