Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00820 | Date 15/09/2018 |
| Token No | SM/18-19/1082 15/09/2018 | Serial | 002 |
| Patient Name | Mr. MONOJIT SWAIN | Contact No | |
| Address | B P SEY STREET | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/86 mmHg | Weight | 66 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||