Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00914 | Date 10/02/2020 |
| Token No | SM/19-20/4062 04/05/2020 | Serial | 009 |
| Patient Name | Mr. SANJIT SARKAR | Contact No | 9051904367 |
| Address | 3/2 K C MUKHERJEE STREET BAIDYABATI M CHATRA 712204 | Age | 57 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||