Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00844 | Date 12/09/2018 |
| Token No | SM/18-19/1116 12/09/2018 | Serial | 006 |
| Patient Name | Mr. TAMAL NATH | Contact No | |
| Address | THAKUR BATI STREET | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/88 mmHg | Weight | 66 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||