Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 00829 | Date 15/09/2018 |
| Token No | SM/18-19/1091 15/09/2018 | Serial | 011 |
| Patient Name | Mr. PRADIP MONDOL | Contact No | 8956855896 |
| Address | HOSPITAL LANE | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 55 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||