Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00834 | Date 15/09/2018 |
| Token No | SM/18-19/1104 15/09/2018 | Serial | 024 |
| Patient Name | Master PAPAN DASGUPTA | Contact No | |
| Address | LAXMIGHAT | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 112/80 mmHg | Weight | 39 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||