Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00908 | Date 10/09/2018 |
| Token No | SM/18-19/1188 10/09/2018 | Serial | 017 |
| Patient Name | Mr. SUMAN DEY | Contact No | 9093562201 |
| Address | DEY STREET | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||