Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00841 | Date 12/09/2018 |
| Token No | SM/18-19/1112 12/09/2018 | Serial | 002 |
| Patient Name | Mr. AMRITESH KUNDU | Contact No | |
| Address | DEY STREET | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/80 mmHg | Weight | 59 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||