Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00147 | Date 08/08/2018 |
| Token No | SM/18-19/1102 15/09/2018 | Serial | 022 |
| Patient Name | Mr. KESTO MUKHERJEE | Contact No | |
| Address | Age | 40 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/90 mmHg | Weight | 77 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||