Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00089 | Date 06/08/2018 |
| Token No | SM/18-19/1339 28/09/2018 | Serial | 029 |
| Patient Name | Mr. JAYANTA MALIK | Contact No | |
| Address | DEY GHAT LANE | Age | 58 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | 78 KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||