Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 00826 | Date 15/09/2018 |
| Token No | SM/18-19/1088 15/09/2018 | Serial | 008 |
| Patient Name | Mr. GOURAB MAITRA | Contact No | 9865985875 |
| Address | HOSPITAL LANE | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/76 mmHg | Weight | 56 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||