Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01009 | Date 27/09/2018 |
| Token No | SM/18-19/1310 27/09/2018 | Serial | 050 |
| Patient Name | Mr. JAGDEEP SAHA | Contact No | |
| Address | BHATTACHARYA LANE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 58 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||