Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00989 | Date 27/09/2018 |
| Token No | SM/18-19/1287 27/09/2018 | Serial | 027 |
| Patient Name | Mr. PRIYANKA GHOSH | Contact No | 8582774521 |
| Address | DEY STREET | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 52 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||