Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00818 | Date 21/09/2018 |
| Token No | SM/18-19/1080 21/09/2018 | Serial | 004 |
| Patient Name | Mr. ANSHUMAN SEN | Contact No | 9735548682 |
| Address | DEY STREET | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/80 mmHg | Weight | 61 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||