Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02540 | Date 22/07/2019 |
| Token No | SM/18-19/4948 22/07/2019 | Serial | 041 |
| Patient Name | Mr. PABITRA MUKHERJEE | Contact No | NOT GIVEN |
| Address | HOWRAH KONA | Age | 34 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||