Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00096 | Date 13/09/2019 |
| Token No | SM/19-20/102 13/09/2019 | Serial | 001 |
| Patient Name | Mr. SANJAY PRASAD GUPTA | Contact No | 8420981281 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/88 mmHg | Weight | 45 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||