Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00819 | Date 15/09/2018 |
| Token No | SM/18-19/1081 15/09/2018 | Serial | 001 |
| Patient Name | Mr. AMARNATH DAS | Contact No | 9687858995 |
| Address | DEY BAGAN | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/90 mmHg | Weight | 56 KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||