Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00839 | Date 15/09/2018 |
| Token No | SM/18-19/1110 15/09/2018 | Serial | 030 |
| Patient Name | Mr. SAGAR KUMAR MONDOL | Contact No | |
| Address | B P DEY STREET | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 58 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||