Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00827 | Date 15/09/2018 |
| Token No | SM/18-19/1089 15/09/2018 | Serial | 009 |
| Patient Name | Mr. TAPAS KUMAR PAL | Contact No | |
| Address | MAHESH COLONY | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 66 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||