Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02936 | Date 30/08/2019 |
| Token No | SM/18-19/6048 30/08/2019 | Serial | 031 |
| Patient Name | Mr. JAYANTA BANERJEE | Contact No | 9674325890 |
| Address | PATUA PARA LANE | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||