Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00786 | Date 22/09/2018 |
| Token No | SM/18-19/1048 22/09/2018 | Serial | 028 |
| Patient Name | Mr. AVIK SADHUKHAN | Contact No | 7008546921 |
| Address | DEY STREET | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||