Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00993 | Date 27/09/2018 |
| Token No | SM/18-19/1293 27/09/2018 | Serial | 033 |
| Patient Name | Mr. JOYDEV JANA | Contact No | |
| Address | 2 NO DHARMATALA | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||