Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02830 | Date 16/08/2019 |
| Token No | SM/18-19/5691 16/08/2019 | Serial | 059 |
| Patient Name | Mr. JAGANNATH GHOSH | Contact No | 7008596323 |
| Address | 11 B L C MILLS | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 52 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||