Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00016 | Date 02/08/2018 |
| Token No | SM/18-19/16 02/08/2018 | Serial | 015 |
| Patient Name | Mr. DINESH DALAL | Contact No | |
| Address | BALLAVPUR | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||