Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00836 | Date 15/09/2018 |
| Token No | SM/18-19/1107 15/09/2018 | Serial | 027 |
| Patient Name | Mr. BISWARUP SAHA | Contact No | |
| Address | DEY STREET | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | 92 / min | Height | cm |
| Diagnosis | |||