Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00669 | Date 11/09/2018 |
| Token No | SM/18-19/876 11/09/2018 | Serial | 007 |
| Patient Name | Mr. DHRUBOJYOTI SAHA | Contact No | |
| Address | CHATTERJEE LANE | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/78 mmHg | Weight | 66 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||