Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02791 | Date 13/08/2019 |
| Token No | SM/18-19/5589 13/08/2019 | Serial | 014 |
| Patient Name | Mr. PARTHA PRATIM PAL | Contact No | 9885252262 |
| Address | PANCHANAN TALA LANE | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 65 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||