Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00845 | Date 12/09/2018 |
| Token No | SM/18-19/1117 12/09/2018 | Serial | 007 |
| Patient Name | Master TIYAS RAJBHOR | Contact No | |
| Address | DEY BAGAN | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/66 mmHg | Weight | 48 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||