Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00760 | Date 22/09/2018 |
| Token No | SM/18-19/1022 22/09/2018 | Serial | 002 |
| Patient Name | Mr. PINAKI SAHA | Contact No | 7602458692 |
| Address | MANIKTALA | Age | 34 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||