Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02523 | Date 22/07/2019 |
| Token No | SM/18-19/4909 22/07/2019 | Serial | 002 |
| Patient Name | Mr. NARENDRA NATH BHATTACHARYA | Contact No | NOT GIVEN |
| Address | BANERJEE PARA | Age | 44 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||