Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00651 | Date 04/09/2018 |
| Token No | SM/18-19/841 04/09/2018 | Serial | 016 |
| Patient Name | Mr. PRABIR CHATTERJEE | Contact No | 987580939 |
| Address | 52/A PANCHANAN TALA LANE | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||