Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00106 | Date 07/08/2018 |
| Token No | SM/18-19/110 07/08/2018 | Serial | 006 |
| Patient Name | Mr. SUDIP GHOSH | Contact No | |
| Address | Age | 52 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 94 / min | Height | cm |
| Diagnosis | |||