Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00955 | Date 24/09/2018 |
| Token No | SM/18-19/1236 24/09/2018 | Serial | 015 |
| Patient Name | Mr. PRADIP KR BHAR | Contact No | 9332074940 |
| Address | 599 G.T ROAD | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||