Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00655 | Date 11/09/2018 |
| Token No | SM/18-19/849 11/09/2018 | Serial | 004 |
| Patient Name | Mr. SANJAY KR KAIRI | Contact No | 8820981497 |
| Address | 79 DEY STREET | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64 KG |
| Pulse Rate | 97 / min | Height | cm |
| Diagnosis | |||