Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02524 | Date 22/07/2019 |
| Token No | SM/18-19/4910 22/07/2019 | Serial | 003 |
| Patient Name | Mr. RABINDRANATH MAJUMDAR | Contact No | NOT GIVEN |
| Address | 12 K.C.LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||